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Individual

DR. NICHOLAS GAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2015020397
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
16395
ND

Other

Enumeration date
07/15/2015
Last updated
08/30/2021
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