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Organization

HANS BJELLUM MD PC

Active
Other names
7-Day Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANS E BJELLUM MD (MEDICAL DIRECTOR)
(701) 364-2909
Entity
Organization

Contact information

Practice address
1100 19TH AVE N, SUITE L&M, FARGO, ND 58102-5906
(701) 364-2909
(701) 364-9346
Mailing address
1100 19TH AVE N, SUITE L&M, FARGO, ND 58102-5906
(701) 364-2909
(701) 364-9346

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10131
MN
05
10133
ND
05
10141
ND
Enumeration date
08/14/2012
Last updated
08/14/2012
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