Individual
WILLIAM F WOSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 UNIVERSITY DR S, SUITE 104, FARGO, ND 58103-6050
(701) 478-0244
Mailing address
PO BOX 2746, FARGO, ND 58108-2746
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
5236
ND
2085N0700X
Neuroradiology Physician
5236
ND
2085N0904X
Nuclear Radiology Physician
5236
ND
2085P0229X
Pediatric Radiology Physician
5236
ND
2085R0202X
Diagnostic Radiology Physician
Primary
5236
ND
2085R0204X
Vascular & Interventional Radiology Physician
5236
ND
2085U0001X
Diagnostic Ultrasound Physician
5236
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576173
—
IA
05
—
11660
—
ND
05
—
135777800
—
MN
01
—
49D35WO
BC/BS
MN
01
—
WOS026324
BC/BS
ND
Enumeration date
07/24/2006
Last updated
06/01/2015
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