Individual
DR. CHRIS L CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2660
(701) 234-8796
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
12914
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09727868
—
CO
05
—
18277
—
ND
05
—
18308
—
ND
Enumeration date
10/14/2005
Last updated
08/29/2022
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