Individual
DR. ADEL MERGOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-5933
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15173
ND
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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