Individual
ERIC R PROMERSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5015
(701) 234-7332
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5015
(701) 234-7332
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
44063
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
8354
ND
Other
Enumeration date
07/18/2006
Last updated
05/02/2012
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