Mary K Weisberg, PA-C
Physician Assistant in Fargo, ND. Individual provider (NPI-1).
NPI number1316629355
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1316629355
- Entity type
- Individual (NPI-1)
- Name
- Mary K Weisberg
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PAC1015 | ND | Yes |
Practice location
1702 University Dr SFargo, ND 58103-4940
Phone 701-364-8000
Mailing address
1702 University Dr SFargo, ND 58103-4940
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