Glenn Alan Mastel, MD
Family Medicine in Fargo, ND. Individual provider (NPI-1).
NPI number1104843747
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1104843747
- Entity type
- Individual (NPI-1)
- Name
- Glenn Alan Mastel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 6167 | ND | Yes |
Practice location
2101 Elm St NFargo, ND 58102-2417
Phone 701-232-3241 · Fax 701-451-7827
Mailing address
2101 Elm St NFargo, ND 58102-2417
Phone 701-232-3241 · Fax 701-451-7827
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