TODD D UNDERDAHL

FARGO, ND
NPI1023039369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R22985)
Enumeration Date2006-07-22
Last Update Date2014-06-16
Business Address
TODD D UNDERDAHL CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6258
Mailing Address
TODD D UNDERDAHL CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6258
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