Individual
CHAD A PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
(701) 842-4025
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55437
WI
207R00000X
Internal Medicine Physician
60620
MT
207RH0000X
Hematology (Internal Medicine) Physician
60620
MT
207RX0202X
Medical Oncology Physician
Primary
21785
ND
207RX0202X
Medical Oncology Physician
60620
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2008
Last updated
02/21/2025
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