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Individual

DR. GREGORY VIGESAA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11473
ND
207P00000X
Emergency Medicine Physician
20449
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20449
RESIDENCY PERMIT
MN
Enumeration date
05/08/2008
Last updated
03/25/2022
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