SearchNorth Dakota101YA0400X

Orville Mandan, LAC

NPI 1710150099 · on the registry since 2008

Practice

Address
4227 9th Ave Sw
Fargo, ND 58103
Phone
(701) 282-6561
Fax
(701) 277-0306
Clinicians at this address
8

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota