Individual
DR. CHENELLE MAHALIA CHRYSTAL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 S COLUMBIA RD, GRAND FORKS, ND 58201-4059
(701) 795-2000
(701) 795-2260
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-4085
(701) 780-4477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.062271
IL
207R00000X
Internal Medicine Physician
Primary
14267
ND
2084P0800X
Psychiatry Physician
125.062271
IL
2084P0800X
Psychiatry Physician
14267
ND
Other
Enumeration date
07/20/2012
Last updated
06/08/2020
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