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Individual

FADEL E NAMMOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
(701) 356-1001
(701) 639-4550

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
45369
MN
207RG0100X
Gastroenterology Physician
Primary
9025
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030521900
ND
05
11936
ND
01
142762
UCARE #
ND
01
1635118
AMERICA'S PPO/ARAZ #
ND
01
22142
NDBS #
ND
01
25167
MNBS #
MN
01
2900240
MEDICA #
ND
01
2900241
MEDICA #
ND
01
2900367
MEDICA #
MN
01
60G84NA
MNBS #
ND
01
933S9NA
MNBS #
MN
01
DA9011031159
PREFERRED ONE #
ND
01
HP38398
HEALTHPARTNERS #
ND
01
ND200238
LHS #
ND
Enumeration date
07/05/2006
Last updated
08/31/2017
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