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1194987669
COREY JOHN KROETSCH
FARGO, ND
NPI
1194987669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ND 12072)
Additional Taxonomies
208600000X Surgery
(Licence: ND RL10258)
Enumeration Date
2008-06-26
Last Update Date
2012-01-17
Business Address
Dr. COREY JOHN KROETSCH MD
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-5884
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Mailing Address
Dr. COREY JOHN KROETSCH MD
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-5884
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