Individual
STEPHANE ROBERT LEO BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 UNIVERSITY DR S # 825, FARGO, ND 58103
(014) 615-6007
(701) 461-5649
Mailing address
1720 UNIVERSITY DR S # 825, FARGO, ND 58103-4940
(014) 615-6007
(701) 461-5649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14976
ND
Other
Enumeration date
04/24/2014
Last updated
03/15/2019
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