Medical Arts Physicians Ltd | |
614 Dakota Ave Wahpeton ND 58075-4300 | |
(701) 642-4471 | |
(701) 642-2878 |
Full Name | Medical Arts Physicians Ltd |
---|---|
Speciality | Family Medicine |
Location | 614 Dakota Ave, Wahpeton, North Dakota |
Authorized Official Name and Position | Deyon M Suchla (MEDICAL PRACTICE MANAGER) |
Authorized Official Contact | 7014768414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medical Arts Physicians Ltd 614 Dakota Ave Wahpeton ND 58075-4300 Ph: (701) 642-4471 | Medical Arts Physicians Ltd 614 Dakota Ave Wahpeton ND 58075-4300 Ph: (701) 642-4471 |
NPI Number | 1114199635 |
---|---|
Provider Enumeration Date | 03/25/2008 |
Last Update Date | 09/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114199635 | NPI | - | NPPES |
12405 | Medicaid | ND | |
00545001 | Other | ND | BLUE SHIELD OF ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3751 (North Dakota) | Primary |
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