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Contact Information

MIRAN J BLANCHARD, MD
820 4TH ST N
FARGO, ND58102-4539
 Phone: 701-234-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MIRAN J BLANCHARD · (Male)

NPI # 1629369830
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2011
Last updated 03/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 105542
  • MN License # 54356
  • ND License # 13647
Hospital affiliation(s)
  • HILLSBORO MEDICAL CENTER - CAH - (Critical Access)
    12 THIRD STREET SOUTH EAST
    HILLSBORO, ND 58045
  • 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 THIEF RIVER FALLS - (Critical Access)
    120 LABREE AVENUE SOUTH
    THIEF RIVER FALLS, MN 56701
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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