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Contact Information

DOUGLAS A ROISE, MD
1702 UNIVERSITY DR S
FARGO, ND58103-4940
 Phone: 701-364-3300
 Fax: 701-364-8906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DOUGLAS A ROISE · (Male)

NPI # 1205854080
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 07/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 4957
  • ND Medicaid 14544
  • ND Medicaid 17475
  • ND Medicaid 213627900
  • ND Other 1012767 ARAZ #
  • ND Other 1100119 FGO MEDICA #
  • ND Other 88D16RO FGO MNBS#
  • ND Other 19107 FGO NDBS #
  • ND Other HP38337 HEALTHPARTNERS #
  • ND Other 1100125 INN MEDICA #
  • ND Other DA9011026994 PREF 1 #
  • ND Other 12352 SIOUX VALLEY #
  • ND Other 142059 UCARE #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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