Individual provider · NPI-1

Gregory J Bjerke, MD

Internal Medicine · Fargo, ND

NPI number1023036753
StatusActive
Last updated in NPPESApr 6, 2022

Details

NPI
1023036753
Entity type
Individual (NPI-1)
Name
Gregory J Bjerke
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2006
Certification date
Apr 6, 2022
Last updated
Apr 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4428NDYes
207PT0002X Emergency Medicine, Medical Toxicology4428ND

Practice location

801 Broadway N
Fargo, ND 58102-3641

Phone 701-234-5123 · Fax 701-234-5124

Mailing address

Po Box 2010
Fargo, ND 58122-0605

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