Doreen Joan Gigstad-Stave in Fargo - Medical
Doreen Joan Gigstad-Stave - NPI 1497772354
Doreen Joan Gigstad-Stave is a Medical in Fargo, North Dakota. Doreen Joan Gigstad-Stave practices all healthcare services and medical treatments related to Medical. The NPI Number for Doreen Joan Gigstad-Stave is 1497772354. The last update date is 2012-10-16.
Doreen Joan Gigstad-Stave's current location address is 801 Broadway N, Fargo, North Dakota. You can contact this provider via phone number 7012342261 and fax number 7012342080. The mailing address for Doreen Joan Gigstad-Stave is 801 Broadway N, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doreen Joan Gigstad-Stave |
|---|---|
| Address | 801 Broadway N, Fargo, North Dakota |
| Phone Number | 7012342261 |
| Fax Number | 7012342080 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1497772354 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2012-10-16 |
Provider Mailing Address Detail
| Address | 801 Broadway N |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581023641 |
| Phone Number | 7012342261 |
| Fax Number | 7012342080 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PAC0028 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307195200 | MN | -- | |
| 71097 | ND | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Doreen Joan Gigstad-Stave?
The Doreen Joan Gigstad-Stave has been issued the NPI (National Provider Identifier) 1497772354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Doreen Joan Gigstad-Stave?
The Doreen Joan Gigstad-Stave is situated at 801 Broadway N, in the city of Fargo, state of ND, with the zip code 581023641.
What is Doreen Joan Gigstad-Stave's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Doreen Joan Gigstad-Stave's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Doreen Joan Gigstad-Stave receive the assignment of its 1497772354 from the Centers for Medicare & Medicaid Services?
The Doreen Joan Gigstad-Stave was issued its 1497772354 by the Centers for Medicare & Medicaid Services on 2006-07-16.
As of what date were the Doreen Joan Gigstad-Stave's details last updated?
The information pertaining to the Doreen Joan Gigstad-Stave, including its address, specialty, and other details, was most recently updated on 2012-10-16.