Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 15206 | ND |
NPI | 1023308632 |
---|---|
Provider Name | Dr. Michele Margaret Pasierb |
First Address | Fargo, ND 58104-5218 |
Second Address | Fargo, ND 58102-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2011 |
Last Update Date | 12/09/2018 |