person
Mrs. Debra Andvik, PAC
Medical Physician Assistant in Fargo, North Dakota
NPI 1821172404

Debra Andvik is a Medical Physician Assistant based in Fargo, ND and is specialized in Medical. Debra Andvik practices in Fargo, ND and has the professional credentials of PAC. The NPI Number for Debra Andvik is 1821172404 and holds a License No. PAC0194 (North Dakota).

The current practice location address for Debra Andvik is 3280 20Th St S, Fargo, ND and can be reached out via phone at 701-499-4800 and via fax at 701-451-9452.

Location: 3280 20Th St S, Fargo, ND, 58104-5917
person
Provider Profile Details
NPI Number
1821172404
Provider Name
Debra Andvik
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3280 20Th St S, Fargo, ND, 58104-5917
Phone Number
701-499-4800
Fax Number
701-451-9452
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212K9AN 01 MN MNBS
048592600 05 MN
16541 05 ND
P00189293 01 ND RAILROAD MEDICARE
024067 01 ND NDBS
institution
Provider Business Practice Location Address Details
Address
3280 20Th St S
City
State
Zip
58104-5917
Phone Number
701-499-4800
Fax Number
701-451-9452
person
Provider Business Mailing Address Details
Address
3280 20Th St S
City
State
Zip
58104-5917
Phone Number
701-499-4800
Fax Number
701-451-9452
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0194 (North Dakota)
Definition
Definition to come...
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