DAVID S HANEKOM

FARGO, ND
NPI1619995263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ND  8142)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
DAVID S HANEKOM MD
737 BROADWAY N
FARGO, ND 58122-0001
Phone number: 701-234-4811
Mailing Address
DAVID S HANEKOM MD
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-8820