Organization
NORTH DAKOTA DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK DONOVAN WILKE (CHIEF OPERATING OFFICER)
(701) 329-3256
Entity
Organization
Contact information
Practice address
600 EAST BOULEVARD AVE, DEPT. 301, BISMARCK, ND 58505-0200
(701) 328-2352
(701) 328-1890
Mailing address
600 EAST BOULEVARD AVE, DEPT. 301, BISMARCK, ND 58505-0200
(701) 328-2352
(701) 328-1890
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15907
—
ND
Enumeration date
03/30/2007
Last updated
10/17/2017
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