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1326301250
PHILIP M. WANZEK
FARGO, ND
NPI
1326301250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: ND 14669)
Additional Taxonomies
208800000X Urology
(Licence: MN 56768)
Enumeration Date
2012-06-15
Last Update Date
2022-07-21
Business Address
-- PHILIP M. WANZEK DO
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
-- PHILIP M. WANZEK DO
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-364-4222
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