Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 47606 | MN |
N | 208600000X | Surgeon | 47606 | MN |
Y | 2086S0120X | Pediatric Surgery | 13664 | ND |
NPI | 1083694608 |
---|---|
Provider Name | Johanna R Askegard-Giesmann |
First Address | Fargo, ND 58102-3641 |
Second Address | Fargo, ND 58102-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 24/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
881487200 | (05) | MN |
I40393 | (02) |