Individual
ANDREW V GASPARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY, GRAND FORKS, ND 58203
(701) 780-6800
(218) 935-2720
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11662
ND
207Q00000X
Family Medicine Physician
53565
MN
207Q00000X
Family Medicine Physician
RL11211
ND
207Q00000X
Family Medicine Physician
TP105148
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15436
—
ND
Enumeration date
05/26/2009
Last updated
02/25/2019
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