Organization · NPI-2

Catalyst Medical Center PC

Otolaryngology · Fargo, ND

NPI number1043378268
StatusActive
Last updated in NPPESMay 1, 2009

Details

NPI
1043378268
Entity type
Organization (NPI-2)
Legal business name
Catalyst Medical Center PC
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
May 1, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology––Yes

Other names

  • Susan M Mathison MD Ltd (Former Legal Business Name)

Practice location

1800 21st Ave S
Fargo, ND 58103

Phone 701-365-8700 · Fax 701-365-8701

Mailing address

1800 21st Ave S
Fargo, ND 58103

Phone 701-365-8700 · Fax 701-365-8701

Authorized official

Susan M Mathison
Owner
7013658700

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