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Contact Information

MARK D ROSTAD, MD
3000 32ND AVE S
FARGO, ND58103-6132
 Phone: 701-364-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK D ROSTAD · (Male)

NPI # 1093160806
Status Active
Credentials MD
Entity Individual
Enumeration date 04/29/2016
Last updated 08/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ND License # PT17670
  • WI License # 69877
Hospital affiliation(s)
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
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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