TREVOR DENNIS STAVIG

FARGO, ND
NPI1972066256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ND  R38941)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: ND  R38941)
Enumeration Date2019-04-12
Last Update Date2022-03-03
Business Address
TREVOR DENNIS STAVIG NP-C
3345 39TH ST S STE 1
FARGO, ND 58104-7539
Phone number: 877-522-1275
Mailing Address
TREVOR DENNIS STAVIG NP-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: