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1083632673
DANIEL K OSTLIE
FARGO, ND
NPI
1083632673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
(Licence: ND 8629)
Enumeration Date
2006-07-18
Last Update Date
2016-09-29
Business Address
DANIEL K OSTLIE MD
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
DANIEL K OSTLIE MD
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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