Organization
PRAIRIE NATUROPATHIC DOCTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY ROSE FERGUSON ND, LTM (SECRETARY)
(218) 284-1188
Entity
Organization
Contact information
Practice address
1904 30TH AVE S, MOORHEAD, MN 56560-5210
(218) 284-1188
(218) 284-1190
Mailing address
1904 30TH AVE S, MOORHEAD, MN 56560-5210
(218) 284-1188
(218) 284-1190
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
1003
MN
175F00000X
Naturopath
Primary
1012
MN
176B00000X
Midwife
1022
MN
291U00000X
Clinical Medical Laboratory
1012
MN
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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