Organization
NORTHWEST DAKOTA MANAGEMENT LLC
Active
Organization
NORTHWEST DAKOTA MANAGEMENT LLC
Active
Other names
Dakota Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE HAWTHORN (COORDINATOR)
(951) 736-0137
Entity
Organization
Contact information
Practice address
1002 18TH AVENUE SE, MINOT, ND 58701
(951) 736-0137
Mailing address
2370 ANSELMO DR, CORONA, CA 92879-7106
(951) 736-0137
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
10/11/2024
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