Individual
OWEN GARTH TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121
(701) 234-5124
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121
(701) 234-5124
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
29890
MN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4565
ND
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
29890
MN
Other
Enumeration date
07/06/2006
Last updated
11/25/2014
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