Organization
NORTH VALLEY FAMILY MEDICINE CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRADLEY CARIVEAU MD (PRESIDENT)
(218) 773-6800
Entity
Organization
Contact information
Practice address
929 CENTRAL AVE NW, EAST GRAND FORKS, MN 56721-1917
(218) 773-6800
(218) 773-6861
Mailing address
1298 BURBANK, GRAND FORKS, ND 58201-3712
(701) 772-7758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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