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Dr. Larry Steven Sidaway, DO
Cardiovascular Disease Physician in Fargo, North Dakota
NPI 1841245743

Larry Steven Sidaway is a Cardiovascular Disease Physician based in Duluth, ND and is specialized in Cardiovascular Disease. Larry Steven Sidaway practices in Fargo, ND and has the professional credentials of DO. The NPI Number for Larry Steven Sidaway is 1841245743 and holds a License No. 6614 (North Dakota).

The current practice location address for Larry Steven Sidaway is 3000 32Nd Avenue South, Fargo, ND and can be reached out via phone at 701-364-8000. You can also correspond with Larry Steven Sidaway through the mailing address at 400 EAST THIRD STREET, DULUTH, MN - 55805-1951 (mailing address contact number: 218-786-1183).

Location: 3000 32Nd Avenue South, Fargo, ND, 55805-1951
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Provider Profile Details
NPI Number
1841245743
Provider Name
Larry Steven Sidaway
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3000 32Nd Avenue South, Fargo, ND, 55805-1951
Phone Number
701-364-8000
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36623 01 HEALTH PARTNERS
41986380 05 MN
0501643 05 IA
6003420 05 SD
0005335 01 SD SD BCBS
36047SI 01 MN MN BCBS - PLAN 91057NO
4303 01 SD DAKOTACARE
931451029047 01 PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
3000 32Nd Avenue South
City
State
Zip
58103-6132
Phone Number
701-364-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3000 32Nd Avenue South
City
State
Zip
58103-6132
Phone Number
701-364-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
6614 (North Dakota)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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