Individual
EVAN DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1054 SHEYENNE PARK PL, WEST FARGO, ND 58078-3229
(701) 730-4190
Mailing address
1054 SHEYENNE PARK PL, WEST FARGO, ND 58078-3229
(701) 730-4444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
04/19/2024
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