Individual
MARCIE GROGAN SKOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0030
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113139
MEDICA #
ND
01
—
0113140
MEDICA #
ND
05
—
080977200
—
ND
01
—
142333
UCARE #
ND
01
—
42G69GR
MNBS #
ND
01
—
4682
NDBS #
ND
01
—
974762
AMERICA'S PPO/ARAZ #
ND
01
—
DA9011015537
PREFERRED ONE #
ND
01
—
HP38583
HEALTHPARTNERS #
ND
Enumeration date
07/10/2006
Last updated
03/23/2012
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