ALEX ALEXANDER AGOSTINI-MIRANDA

FARGO, ND
NPI1104815117
Other NameALEX A AGOSTINI
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME95555)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IA  43934)
207P00000X Emergency Medicine
(Licence: MN  76009)
207P00000X Emergency Medicine
(Licence: AR  E-7802)
207P00000X Emergency Medicine
(Licence: TN  MD0000039280)
207P00000X Emergency Medicine
(Licence: AL  MD.30950)
207P00000X Emergency Medicine
(Licence: KY  44351)
207P00000X Emergency Medicine
(Licence: ND  20002)
207Q00000X Family Medicine
(Licence: AL  MD.30950)
207Q00000X Family Medicine
(Licence: MN  76009)
207Q00000X Family Medicine
(Licence: ND  20002)
207Q00000X Family Medicine
(Licence: IA  43934)
207Q00000X Family Medicine
(Licence: FL  ME95555)
207Q00000X Family Medicine
(Licence: TN  MD0000039280)
207Q00000X Family Medicine
(Licence: KY  44351)
Enumeration Date2005-10-21
Last Update Date2025-04-25
Business Address
Dr. ALEX ALEXANDER AGOSTINI-MIRANDA MD
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
Mailing Address
Dr. ALEX ALEXANDER AGOSTINI-MIRANDA MD
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241