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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