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Organization

HANS BJELLUM, MD, PC

Active
Parent organization
HANS BJELLUM, MD, PC
Other names
7 Day Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
HANS BJELLUM, MD, PC
Authorized official
DR. HANS BJELLUM M.D. (PRESIDENT)
(701) 232-6211
Entity
Organization

Contact information

Practice address
4622 40TH AVE S, FARGO, ND 58104-4394
(701) 232-6211
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
06/28/2011
Last updated
06/28/2011
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