Jonathan Roberts, MD
Surgery in Grand Forks, ND. Individual provider (NPI-1).
NPI number1063252500
StatusActive
Last updated in NPPESMay 31, 2024
Details
- NPI
- 1063252500
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Roberts
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2024
- Certification date
- May 31, 2024
- Last updated
- May 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | RL21219 | ND | Yes |
Practice location
1301 N Columbia Rd Stop 9037Suite E270
Grand Forks, ND 58202-9037
Phone 701-777-5945
Mailing address
1301 N Columbia Rd Stop 9037Suite E270
Grand Forks, ND 58202-9037
Phone 701-777-5945
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