Spirit Lake Tribe
NPI #1912458407 in Fort Totten, North Dakota
Provider Information
- NPI Number
- 1912458407
- Entity Type
- Organization
- Organization Name
- Spirit Lake Tribe
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPIRIT LAKE TRIBE
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Oct 19, 2016
- Last Updated
- Oct 19, 2016
Practice Location
- Address
- 3883 74TH AVE NE
- City
- Fort Totten
- State
- North Dakota
- ZIP Code
- 58335
- Phone
- (701) 766-1600
Authorized Official
- Name
- MICHELLE BELT
- Title
- CEO
- Phone
- (701) 766-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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