Organization
UNIVERSITY NORTH DAKOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA LANDMAN (ADMIN)
(701) 777-4845
Entity
Organization
Contact information
Practice address
MCCANNEL HALL ROOM 100, 2891 2ND AVENUE NORTH STOP 9038, GRAND FORKS, ND 58202-9038
(701) 777-4500
(701) 777-4835
Mailing address
MCCANNEL HALL ROOM 100, 2891 2ND AVENUE NORTH STOP 9038, GRAND FORKS, ND 58202-9038
(701) 777-4500
(701) 777-4835
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922067305
CLINIC
—
Enumeration date
03/22/2006
Last updated
12/12/2017
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