National Provider Identifier Database

DAKOTA PEDIATRIC GASTROENTEROLOGY
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

DAKOTA PEDIATRIC GASTROENTEROLOGY
3284 51ST ST S UNIT 3
FARGO, ND58104-7983
Phone: 701-532-2242
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for DAKOTA PEDIATRIC GASTROENTEROLOGY

NPI Number 1285596809
Legal business name
LBN
DAKOTA PEDIATRIC GASTROENTEROLOGY
Authorized official TIMOTHY BLAUFUSS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/02/2025
Last updated 12/02/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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