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1174724116
DEREK JOHN LYSTE
GRAND FORKS, ND
NPI
1174724116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 11427)
Enumeration Date
2007-05-29
Last Update Date
2016-06-10
Business Address
Dr. DEREK JOHN LYSTE MD
1380 S COLUMBIA RD
GRAND FORKS, ND 58201-4059
Phone number: 701-795-2000
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Mailing Address
Dr. DEREK JOHN LYSTE MD
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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