Individual provider · NPI-1
Ryan Agema, MD
Emergency Medicine · Fargo, ND
NPI number1124214366
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1124214366
- Entity type
- Individual (NPI-1)
- Name
- Ryan Agema
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2007
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 12787 | ND | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 12787 | ND |
Practice location
801 Broadway NFargo, ND 58102-3641
Phone 701-234-5121
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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