Individual
AMIE C HAUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10769
ND
207Q00000X
Family Medicine Physician
Primary
47666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14549
—
ND
05
—
465041700
—
MN
Enumeration date
01/16/2006
Last updated
09/10/2024
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