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Individual

LEE A HOFSOMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
15
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117307
UCARE #
ND
05
15387
ND
01
20314
AMERICA'S PPO/ARAZ #
ND
01
25446
NDBS #
ND
01
2700488
MEDICA #
ND
01
2700493
MEDICA #
ND
01
41093
LHS #
ND
01
466L6HO
MNBS #
ND
05
593525300
ND
01
DA9011008260
PREFERRED ONE #
ND
01
HP21437
HEALTHPARTNERS #
ND
Enumeration date
07/05/2006
Last updated
08/17/2011
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