IVAN MARTIC

FARGO, ND
NPI1336686898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R35181)
Enumeration Date2017-01-23
Last Update Date2017-01-23
Business Address
-- IVAN MARTIC
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-6355
Mailing Address
-- IVAN MARTIC
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-6355