Individual
YURI R NAKASATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2829
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22828
OK
207RR0500X
Rheumatology Physician
Primary
10572
ND
207RR0500X
Rheumatology Physician
22828
OK
Other
Enumeration date
03/07/2006
Last updated
01/30/2012
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