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Mark E Domaas Llc
Primary Podiatric Medicine Podiatrist in Fargo, North Dakota
NPI 1720633373

Mark E Domaas Llc is a Primary Podiatric Medicine Podiatrist based in Fargo, ND and is specialized in Primary Podiatric Medicine. Mark E Domaas Llc practices in Fargo, ND. The NPI Number for Mark E Domaas Llc is 1720633373 and holds a License No. (North Dakota).

The current practice location address for Mark E Domaas Llc is 4450 31St Ave S Ste 102, Fargo, ND and can be reached out via phone at 763-218-4771 and via fax at 701-205-4593.

Location: 4450 31St Ave S Ste 102, Fargo, ND, 58104-4557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720633373
Provider Name
Mark E Domaas Llc
Credential
Provider Entity Type
Organization
Address
4450 31St Ave S Ste 102, Fargo, ND, 58104-4557
Phone Number
763-218-4771
Fax Number
701-205-4593
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4450 31St Ave S Ste 102
City
Fargo
State
North Dakota
Zip
58104-4557
Phone Number
763-218-4771
Fax Number
701-205-4593
person
Provider Business Mailing Address Details
Address
4450 31St Ave S Ste 102
City
Fargo
State
North Dakota
Zip
58104-4557
Phone Number
763-218-4771
Fax Number
701-205-4593
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
()
Definition
Definition to come...
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