SUSAN M VITALIS

FARGO, ND
NPI1669493904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  31744)
Enumeration Date2006-07-22
Last Update Date2007-12-27
Business Address
SUSAN M VITALIS MD
737 BROADWAY N
FARGO, ND 58122-0001
Phone number: 701-234-4811
Mailing Address
SUSAN M VITALIS MD
665 3RD ST SW
PERHAM, MN 56573-1108
Phone number: 218-347-1200
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