Individual
ADRIANNA MOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-8830
Mailing address
1919 ELM ST N, FARGO, ND 58102-2416
(701) 234-6076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22581
ND
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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