Organization · NPI-2
Medical Arts Physicians Ltd
Family Medicine · Wahpeton, ND
NPI number1114199635
StatusActive
Last updated in NPPESSep 18, 2008
Details
- NPI
- 1114199635
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Arts Physicians Ltd
- Organization subpart
- No
- Enumeration date
- Mar 25, 2008
- Last updated
- Sep 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3751 | ND | Yes |
Practice location
614 Dakota AveWahpeton, ND 58075-4300
Phone 701-642-4471 · Fax 701-642-2878
Mailing address
614 Dakota AveWahpeton, ND 58075-4300
Phone 701-642-4471 · Fax 701-642-2878
Authorized official
Deyon M Suchla
Medical Practice Manager
7014768414
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