Individual provider · NPI-1

Dr. Marwan M.B. Abu Minshar, M.D.

Internal Medicine, Nephrology · Fargo, ND

NPI number1093096406
StatusActive
Last updated in NPPESOct 17, 2016

Details

NPI
1093096406
Entity type
Individual (NPI-1)
Name
Dr. Marwan M.B. Abu Minshar
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2011
Last updated
Oct 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology14030NDYes
207RN0300X Internal Medicine, Nephrology4301104727MI
207R00000X Internal MedicineBP10040884TX
207RN0300X Internal Medicine, Nephrology60976MN

Practice location

3000 32nd Ave S
Fargo, ND 58103-6132

Phone 701-364-8000

Mailing address

Po Box 6001
Fargo, ND 58108-6001

Phone 701-364-8000

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