Mr. John Michael Tate
Medical Oncology Hematology & Oncology
1702 University Dr S
Fargo
, North Dakota 58103-4940
Mr. John Michael Tate
Medical Oncology Hematology & Oncology
1702 University Dr S
Fargo
, North Dakota 58103-4940
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About
Features
Specialties
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Mr. John Michael Tate
- 400 E 3rd St
- Duluth, MN
- Zip : 55805-1951
- Phone :
Second Address
- Mr. John Michael Tate
- 1702 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Fax : (701) 364-8906
- Phone : (701) 364-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0003X | Hematology & Oncology | 44110 | MN |
| Y | 207RX0202X | Medical Oncology | 8586 | ND |
National Provider Identifier
| NPI | 1134141708 |
|---|---|
| Provider Name | Mr. John Michael Tate |
| First Address | Duluth, MN 55805-1951 |
| Second Address | Fargo, ND 58103-4940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 10/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11355 | (05) | ND |
| 909685000 | (05) | MN |
| F68119 | (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.