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Contact Information

MARK M GITAU, MD
820 4TH ST N
FARGO, ND58102-4539
 Phone: 701-234-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK M GITAU · (Male)

NPI Number 1225073661
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 06/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 53892
  • ND License # 11318
  • ND Medicaid 15203
Hospital affiliation(s)
  • HEART OF AMERICA MEDICAL CENTER - (Critical Access)
    800 S MAIN AVE
    RUGBY, ND 58368
  • PERHAM MEMORIAL HOSPITAL & HOME - (Critical Access)
    1000 CONEY STREET WEST
    PERHAM, MN 56573
  • SANFORD MAYVILLE - (Critical Access)
    42 6TH AVENUE SE
    MAYVILLE, ND 58257
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
  • SANFORD MEDICAL CENTER WHEATON - (Critical Access)
    401 12TH STREET NORTH
    WHEATON, MN 56296
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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