Individual
JAU-SHIN LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-2000
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13013
ND
2084N0400X
Neurology Physician
60275
MN
2084N0400X
Neurology Physician
MD21837
OR
2084N0600X
Clinical Neurophysiology Physician
MD21837
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133946
—
OR
Enumeration date
08/02/2006
Last updated
04/29/2022
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