institution
Avera St. Luke's
Plastic and Reconstructive Surgery Physician in Fargo, North Dakota
NPI 1619273927

Avera St. Luke's is a Plastic and Reconstructive Surgery Physician based in Aberdeen, ND and is specialized in Plastic and Reconstructive Surgery. Avera St. Luke's practices in Fargo, ND. The NPI Number for Avera St. Luke's is 1619273927 and holds a License No. 10525 (North Dakota).

The current practice location address for Avera St. Luke's is 4141 31St Ave S Ste 105, Fargo, ND and can be reached out via phone at 605-725-5030 and via fax at 605-725-5028. You can also correspond with Avera St. Luke's through the mailing address at PO BOX 1460, ABERDEEN, SD - 57402-1460 (mailing address contact number: 605-725-5030).

Location: 4141 31St Ave S Ste 105, Fargo, ND, 57402-1460
institution
Provider Profile Details
NPI Number
1619273927
Provider Name
Avera St. Luke's
Credential
Provider Entity Type
Organization
Address
4141 31St Ave S Ste 105, Fargo, ND, 57402-1460
Phone Number
605-725-5030
Fax Number
605-725-5028
Provider Enumeration Date
02/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4141 31St Ave S Ste 105
City
State
Zip
58104-8778
Phone Number
605-725-5030
Fax Number
605-725-5028
person
Provider Business Mailing Address Details
Address
Po Box 1460
City
State
Zip
57402-1460
Phone Number
605-725-5030
Fax Number
605-725-5028
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
10525 (South Dakota)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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