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Individual

MRS. ANGELA SUE DORNACKER-EGGL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3318 N 14TH ST., SANFORD HEALTH NORTH WALK IN CLINIC, BISMARCK, ND 58503
(701) 323-8300
(701) 323-8305
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7325
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18609
ND
Enumeration date
07/20/2006
Last updated
12/09/2024
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