MAMIE HEXTALL

FARGO, ND
NPI1235541863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ND  15002)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IA  R-09974)
Enumeration Date2014-06-02
Last Update Date2018-07-23
Business Address
MAMIE HEXTALL M.D.
3000 32ND AVE S
FARGO, ND 58103
Phone number: 701-364-8000
Mailing Address
MAMIE HEXTALL M.D.
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: