Individual
VIATCHESLAV FATYUKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
Mailing address
1202 28TH ST S, FARGO, ND 58103-8700
(701) 280-9545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/21/2024
Last updated
02/13/2026
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