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NPI Verification

National Provider Identifier: 1750710554

Brian Jacob Grondahl, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Primary

Practice Address

3000 32ND AVE S

FARGO, ND 581036132

Phone: 701-364-8000

NPI Enumeration Date

November 2, 2013

NPI Number

1750710554

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry