Individual
ANDREW A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 461-5000
Mailing address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 461-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4579
ND
207W00000X
Ophthalmology Physician
48153
MN
Other
Enumeration date
07/18/2006
Last updated
09/21/2022
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