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Brian V Jongeward
Clinic/Center in Grand Forks, North Dakota
NPI 1407909120

Brian V Jongeward is a Clinic/Center based in Grand Forks, ND. Brian V Jongeward practices in Grand Forks, ND. The NPI Number for Brian V Jongeward is 1407909120 and holds a License No. 611 (North Dakota).

The current practice location address for Brian V Jongeward is 2812 17Th Ave S Ste C, Grand Forks, ND and can be reached out via phone at 701-775-0223 and via fax at 701-738-0655.

Location: 2812 17Th Ave S Ste C, Grand Forks, ND, 58201-4048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407909120
Provider Name
Brian V Jongeward
Credential
Provider Entity Type
Organization
Address
2812 17Th Ave S Ste C, Grand Forks, ND, 58201-4048
Phone Number
701-775-0223
Fax Number
701-738-0655
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18728 05 ND
1407909120 01 ND CLINIC NPI
1376620831 01 ND INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
2812 17Th Ave S Ste C
City
Grand Forks
State
North Dakota
Zip
58201-4048
Phone Number
701-775-0223
Fax Number
701-738-0655
person
Provider Business Mailing Address Details
Address
2812 17Th Ave S Ste C
City
Grand Forks
State
North Dakota
Zip
58201-4048
Phone Number
701-775-0223
Fax Number
701-738-0655
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
611 (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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