Individual
MANDY LEA SORLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
904 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 253-4020
Mailing address
904 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 253-4020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11582
ND
208D00000X
General Practice Physician
11013734A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11013734A
MEDICAL RESIDENCY PERMIT
IN
Enumeration date
07/06/2007
Last updated
05/07/2012
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