Individual
TRAVIS WASWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 HAMLINE ST., GRAND FORKS, ND 58203
(701) 780-6800
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14381
ND
207Q00000X
Family Medicine Physician
RL13690
ND
Other
Enumeration date
05/27/2015
Last updated
08/10/2023
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