Individual
DR. PAULINA JUSTYNA KUNECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12614
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18221
—
ND
Enumeration date
01/02/2008
Last updated
11/13/2013
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