Individual
DR. HERMAN RYAN SEQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
34 MAPLE ST, NORWALK, CT 06850-3815
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
14812
ND
207RP1001X
Pulmonary Disease Physician
Primary
14812
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2012
Last updated
05/15/2018
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