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Organization

FAMILY MEDICAL CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARBARA SHEETS OLSON MD (PRESIDENT)
(701) 683-4711
Entity
Organization

Contact information

Practice address
10 9TH AVE E, LISBON, ND 58054
(701) 683-4711
(701) 683-3205
Mailing address
10 9TH AVE E, PO BOX 1049, LISBON, ND 58054
(701) 683-4711
(701) 683-3205

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4909
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05171
ND
05
13746
ND
01
1956001
NDBS
ND
Enumeration date
07/04/2006
Last updated
07/31/2007
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