TRAVIS VANDEWATER

FARGO, ND
NPI1881268217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: WI  82923-20)
Enumeration Date2021-05-19
Last Update Date2025-10-27
Business Address
TRAVIS VANDEWATER MD
4656 40TH AVE S
FARGO, ND 58104-4397
Phone number: 701-234-8860
Mailing Address
TRAVIS VANDEWATER MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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