Individual
DAVID J CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45703
MN
208000000X
Pediatrics Physician
Primary
5340
ND
208000000X
Pediatrics Physician
9323
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10424
MNBS #
MN
01
—
1201179
MEDICA #
ND
01
—
1201796
MEDICA #
ND
01
—
142003
UCARE #
ND
05
—
15305
—
ND
01
—
2346
NDBS #
ND
01
—
27359CL
MNBS #
ND
01
—
28732CL
MNBS #
MN
01
—
49788CL
MNBS #
MN
01
—
676556
AMERICA'S PPO/ARAZ #
ND
05
—
694882100
—
ND
01
—
92799CL
MNBS #
ND
01
—
9601
SIOUX VALLEY #
ND
01
—
DA9011015522
PREFERRED ONE #
ND
01
—
HP19524
HEALTHPARTNERS #
ND
01
—
ND100001
LHS #
ND
Enumeration date
07/14/2006
Last updated
04/18/2012
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