Renew Medical Clinic LLC
NPI #1811234032 in Fargo, North Dakota
Provider Information
- NPI Number
- 1811234032
- Entity Type
- Organization
- Organization Name
- Renew Medical Clinic LLC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Jan 8, 2013
- Last Updated
- Nov 15, 2019
Practice Location
- Address
- 2829 UNIVERSITY DR S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6050
- Phone
- (701) 404-9909
Authorized Official
- Name
- DR. DAVID JEROME HANSON, MD
- Title
- OWNER
- Phone
- (218) 770-1006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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