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Alisa T Mitskog, P.c.
Clinic/Center in Wahpeton, North Dakota
NPI 1184923179

Alisa T Mitskog, P.c. is a Clinic/Center based in Wahpeton, ND. Alisa T Mitskog, P.c. practices in Wahpeton, ND. The NPI Number for Alisa T Mitskog, P.c. is 1184923179 and holds a License No. 500 (North Dakota).

The current practice location address for Alisa T Mitskog, P.c. is 319 11Th St N, Wahpeton, ND and can be reached out via phone at 701-642-6444. You can also correspond with Alisa T Mitskog, P.c. through the mailing address at PO BOX 1461, WAHPETON, ND - 58074-1461 (mailing address contact number: 701-642-6444).

Location: 319 11Th St N, Wahpeton, ND, 58074-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184923179
Provider Name
Alisa T Mitskog, P.c.
Credential
Provider Entity Type
Organization
Address
319 11Th St N, Wahpeton, ND, 58074-1461
Phone Number
701-642-6444
Fax Number
Provider Enumeration Date
03/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
319 11Th St N
City
Wahpeton
State
North Dakota
Zip
58075-4111
Phone Number
701-642-6444
Fax Number
person
Provider Business Mailing Address Details
Address
319 11Th St N
City
Wahpeton
State
North Dakota
Zip
58075-4111
Phone Number
701-642-6444
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
500 (North Dakota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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