FREDRIC LEE BLACK

GRAND FORKS, ND
NPI1306943188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ND  7575)
Enumeration Date2006-09-20
Last Update Date2007-12-28
Business Address
-- FREDRIC LEE BLACK DO
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
Mailing Address
-- FREDRIC LEE BLACK DO
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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