Organization
WINMAR DIAGNOSTICS NORTH CENTRAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ANN NELSON (CEO)
(701) 235-7424
Entity
Organization
Contact information
Practice address
2700 12TH AVE S, STE B, FARGO, ND 58103-8723
(701) 235-7424
(701) 239-4792
Mailing address
2700 12TH AVE S, STE B, FARGO, ND 58103-8723
(701) 235-7424
(701) 239-4792
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13822
—
ND
05
—
410619900
—
MN
Enumeration date
01/23/2007
Last updated
12/10/2020
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