Daniel K Ostlie
Family Doctor - Sports Medicine
3000 32nd Ave S
Fargo
, North Dakota 58103-6132
Daniel K Ostlie
Family Doctor - Sports Medicine
3000 32nd Ave S
Fargo
, North Dakota 58103-6132
(701) 364-8000
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Daniel K Ostlie
- Po Box 6001
- Fargo, ND
- Zip : 58108-6001
- Phone : (701) 364-8000
Second Address
- Daniel K Ostlie
- 3000 32nd Ave S
- Fargo, ND
- Zip : 58103-6132
- Fax : (701) 364-8078
- Phone : (701) 364-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 8629 | ND |
National Provider Identifier
| NPI | 1083632673 |
|---|---|
| Provider Name | Daniel K Ostlie |
| First Address | Fargo, ND 58108-6001 |
| Second Address | Fargo, ND 58103-6132 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 29/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G63162 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.