Organization
VISCITO FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STEPHEN VISCITO M.D. (PROPRIETOR)
(701) 757-1999
Entity
Organization
Contact information
Practice address
2750 S 26TH ST, SUITE C, GRAND FORKS, ND 58201-6432
(701) 757-1999
(701) 757-0898
Mailing address
2750 S 26TH ST, SUITE C, GRAND FORKS, ND 58201-6432
(701) 757-1999
(701) 757-0898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10982
ND
Other
Enumeration date
09/17/2013
Last updated
01/07/2014
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