Fargo Health, Inc.

NPI #1053860056 in Maple Grove, Minnesota

Provider Information

NPI Number: 1053860056
Entity Type: Organization
Organization Name: Fargo Health, Inc.
Primary Specialty: Specialist
Enumeration Date: Oct 2, 2016
Last Updated: Jan 6, 2018

Practice Location

Address: 9325 UPLAND LN N
Address 2: SUITE 205
City: Maple Grove
State: Minnesota
ZIP Code: 55369-4200
Phone: (612) 670-4971

Authorized Official

Name: MR. ROBERT ERIC HANSON
Title: PRESIDENT
Phone: (612) 432-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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