Individual
VERN ALLEN HARCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
437 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-2245
(701) 463-6543
Mailing address
PO BOX 9, GARRISON, ND 58540-0009
(701) 463-2245
(701) 463-6543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7319
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13815
—
ND
01
—
27030
BLUE CROSS/ BLUE SHIELD
ND
Enumeration date
05/27/2006
Last updated
10/10/2007
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