Organization
DAKOTA GASTROENTEROLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADEL NAMMOUR MD (OWNER)
(701) 356-1001
Entity
Organization
Contact information
Practice address
5049 33RD AVE S, FARGO, ND 58104-7080
(701) 356-1001
(701) 639-4550
Mailing address
5049 33RD AVE S, FARGO, ND 58104-7080
(701) 356-1001
(701) 639-4550
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
05/30/2019
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