Individual
MRS. CHENTEL SPRING DANGERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0891
Mailing address
3520 EAGLE RUN DR, WEST FARGO, ND 58078-8198
(701) 364-0990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1033
MN
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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