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Individual

DR. ENDER G RAGHIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3290 20TH ST S STE A, FARGO, ND 58104-5923
(701) 478-4722
Mailing address
325 EDGEWATER DR, WEST FARGO, ND 58078-4248
(701) 364-2647

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9514
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12730
ND
05
395461700
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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