Organization
HANS BJELLUM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANS BJELLUM MD (OWNER)
(320) 815-7555
Entity
Organization
Contact information
Practice address
1517 32ND AVE S, FARGO, ND 58103-5905
(701) 232-6211
(701) 364-9346
Mailing address
4622 40TH AVE S, FARGO, ND 58104-4394
(701) 232-6211
(701) 364-9346
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
41143
MN
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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