Individual
MATTHEW GERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13190
ND
207P00000X
Emergency Medicine Physician
4301098614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13190
LICENSE
ND
05
—
1457356
—
ND
Enumeration date
07/05/2011
Last updated
12/23/2015
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