Individual
CODY M BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 LINCOLN ST S STE C, FARGO, ND 58104-7766
(701) 532-2458
(701) 935-7277
Mailing address
3625 LINCOLN ST S STE C, FARGO, ND 58104-7766
(701) 532-2458
(701) 935-7277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
08/08/2023
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