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Individual

DR. GREGORY H VAN GELDEREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 ELM ST N, EMERGENCY DEPARTMENT, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2101 ELM STREET NORTH, EMERGENCY DEPARTMENT, FARGO, ND 58102-8707
(701) 239-3700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BV6652502
FL

Other

Enumeration date
05/03/2006
Last updated
12/15/2010
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