Individual provider · NPI-1

Dr. Cheryl K Bauer-Olson, DO

Family Medicine · Fargo, ND

NPI number1871553313
StatusActive
Last updated in NPPESMay 15, 2023

Details

NPI
1871553313
Entity type
Individual (NPI-1)
Name
Dr. Cheryl K Bauer-Olson
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2006
Certification date
May 15, 2023
Last updated
May 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine10745NDYes
207Q00000X Family Medicine3656IA
207Q00000X Family Medicine50211MN

Practice location

4133 30th Ave S Ste 103
Fargo, ND 58104-8421

Phone 701-499-4847 · Fax 701-433-1882

Mailing address

2413 E Country Club Dr S
Fargo, ND 58103-5730

Phone 701-429-4385

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