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Contact Information

KIRK D WYATT, MD
820 4TH ST N
FARGO, ND58102-4539
 Phone: 701-234-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIRK D WYATT · (Male)

NPI Number 1699181495
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2014
Last updated 04/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 59626
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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