Organization
MIDGARDEN FAMILY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI JEAN MIDGARDEN M.D. (OWNER)
(701) 284-6663
Entity
Organization
Contact information
Practice address
503 PARK ST W, PARK RIVER, ND 58270-4103
(701) 284-6663
(701) 284-6923
Mailing address
503 PARK ST W, PARK RIVER, ND 58270-4103
(701) 284-6663
(701) 284-6923
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
8012
ND
Other
Enumeration date
03/24/2009
Last updated
06/15/2009
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