Individual
ADAM MICHAEL MCGAUVRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5246
(701) 780-5772
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
(701) 780-5772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24990
MN
2085R0202X
Diagnostic Radiology Physician
Primary
56996
MN
208600000X
Surgery Physician
TRL 12380
ND
Other
Enumeration date
07/18/2012
Last updated
04/05/2018
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