Individual
THOMAS CHRISTOPHER MISKAVIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14284
ND
207R00000X
Internal Medicine Physician
56646
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
09/24/2020
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