Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 14958 | ND |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 14958 | ND |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 63742 | MN |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OT015528 | PA |
NPI | 1720428519 |
---|---|
Provider Name | Dr. Mark Strand |
First Address | Grand Forks, ND 58201 |
Second Address | Grand Forks, ND 58201-7245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 24/09/2020 |