Individual
DR. CODI GUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 32ND AVE S STE 101, FARGO, ND 58103-6132
(017) 364-8000
(701) 551-6984
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(017) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
18109
ND
207LP2900X
Pain Medicine (Anesthesiology) Physician
18109
ND
208VP0000X
Pain Medicine Physician
Primary
18109
ND
Other
Enumeration date
06/21/2017
Last updated
05/15/2024
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