Individual
JAMIE TRAUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 11, HENDRUM, MN 56550-0011
(701) 429-0474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0737
ND
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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