246Z00000X
Grand Forks, ND
Specialty
246Z00000X
Credential
OPA-C, OTC, OT-SC
NPI
1982715876
3035 Demers Ave., Grand Forks, ND 58201
(701) 738-4240Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 246z00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 246Z00000X