MICHAEL JOHN LILLESTOL

FARGO, ND
NPI1669427688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ND  4830)
Enumeration Date2006-05-25
Last Update Date2010-08-27
Business Address
-- MICHAEL JOHN LILLESTOL M.D.
1707 GOLD DR STE 101
FARGO, ND 58103-6413
Phone number: 701-280-2033
Mailing Address
-- MICHAEL JOHN LILLESTOL M.D.
1707 GOLD DR STE 101
FARGO, ND 58103-6413
Phone number: 701-280-2033
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