Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 37200 | IA |
N | 111NI0900X | Internist | 37200 | IA |
N | 207R00000X | Internist | R7350 | IA |
N | 111NI0900X | Internist | R7350 | IA |
Y | 207RG0100X | Gastroenterologist | 11489 | ND |
NPI | 1043420722 |
---|---|
Provider Name | Ross R Meidinger |
First Address | Fargo, ND 58122 |
Second Address | Fargo, ND 58122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 30/11/2011 |