Individual
MARSHAL TERRY JOHN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2400 32ND AVE S # ND, FARGO, ND 58103-5800
(701) 234-8700
Mailing address
1719 50TH ST S, FARGO, ND 58103-7759
(701) 320-5560
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2479
ND
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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