Organization
INDEPENDENT FAMILY DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE JOHNSON MD (PARTNER)
(701) 234-9400
Entity
Organization
Contact information
Practice address
1711 GOLD DR S STE 160, FARGO, ND 58103-6418
(701) 234-9400
(701) 234-9400
Mailing address
1711 GOLD DR S STE 160, FARGO, ND 58103-6418
(701) 234-9400
(701) 234-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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