Individual
DOUGLAS M GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13899
ND
207Q00000X
Family Medicine Physician
31087
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01011082
PREFERRED ONE
MN
01
—
0103802
MEDICA
MN
01
—
114455D277
UCARE
MN
05
—
451595100
—
MN
01
—
53Q29GR
BLUE SHIELD
MN
01
—
595969
AMERICA'S PPO
MN
01
—
A013
CHAMPUS
MN
01
—
HP21657
HEALTH PARTNERS
MN
Enumeration date
01/23/2006
Last updated
02/24/2025
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