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Contact Information

KAREL A DELEEUW, MD
1717 UNIVERSITY DR S
FARGO, ND58103
 Phone: 701-234-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KAREL A DELEEUW · (Male)

NPI # 1225013022
Status Active
Credentials MD
Entity Individual
Enumeration date 12/14/2005
Last updated 07/17/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 32072
  • ND License # 2332
  • ND License # PT15017
  • AZ Medicaid 816936
  • AZ Other P00150696 RAILROAD MEDICARE
  • AZ Other 86080015085259C381 TRIWEST
Hospital affiliation(s)
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
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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