Stephane Robert Leo Blanchard, M.D.
Emergency Medicine in Fargo, ND. Individual provider (NPI-1).
NPI number1720408131
StatusActive
Last updated in NPPESMar 15, 2019
Details
- NPI
- 1720408131
- Entity type
- Individual (NPI-1)
- Name
- Stephane Robert Leo Blanchard
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2014
- Last updated
- Mar 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 14976 | ND | Yes |
Practice location
1720 University Dr S # 825Fargo, ND 58103
Phone 014-615-6007 · Fax 701-461-5649
Mailing address
1720 University Dr S # 825Fargo, ND 58103-4940
Phone 014-615-6007 · Fax 701-461-5649
Other practice locations
1720 University Dr S # 825
Fargo, ND 58103
Fargo, ND 58103
Phone 014-615-6007 · Fax 701-461-5649
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