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NPI Profile for DAKOTA CLINIC LTD in FARGO, ND.
A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mammography Radiologic Technologist |
2471M2300X | |||
Chiropractor |
111N00000X | 35 | Chiropractic | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Nutrition, Education |
133NN1002X | |||
Optometrist |
152W00000X | 41 | Optometry | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Registered Nurse |
163W00000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1558451757 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/16/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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DAKOTA CLINIC, LTD
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| NANCY KNOWLTON, MS, CCC-SLP 3001 11TH AVE S FARGO, ND |
| KRISTEN A GUDERJAHN, RN 2624 9TH AVE S FARGO, ND |
| JAY R PHILLIPPI, PhD 112 UNIVERSITY DR N STE 300 FARGO, ND |
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| ALLAN J LUISTRO, MD 1104 7TH AVE S. MOORHEAD, MN |
| DAVID A VOGT, DO 1412 MAIN ST HAWLEY, MN |
DAKOTA CLINIC, LTD