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Individual

STEPHEN J SPELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2525
(701) 234-2910
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2525
(701) 234-2910

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
23785
MN
207RG0100X
Gastroenterology Physician
Primary
4002
ND

Other

Enumeration date
07/07/2006
Last updated
05/07/2012
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