Individual provider · NPI-1

Marisa Ann Albertson, MD

Family Medicine · Minot, ND

NPI number1710117312
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1710117312
Entity type
Individual (NPI-1)
Name
Marisa Ann Albertson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2009
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine12516NDYes
207Q00000X Family MedicineLT12516ND

Other names

  • Marisa Ann Upton (Former Name)

Practice location

400 Burdick Expy E
Minot, ND 58701

Phone 701-857-7383 · Fax 701-857-7013

Mailing address

Po Box 5010
Minot, ND 58702-5010

Phone 701-857-7817 · Fax 701-857-7013

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