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Jerome Guanciale, DO

NPI 1851355366 · on the registry since 2006 · sole proprietor

Practice

Address
332 2nd Ave N
Wahpeton, ND 58075
Phone
(701) 642-7000
Fax
(701) 642-7055
Organisation at this address
Sanford Clinic North
Sanford Medical Center Fargo
Sanford Medical Center Fargo
Sanford Medical Center Fargo
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Additional practice sites

  • 1301 Bertha Howe Ave, Mesquite, NV

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
208600000X
208600000X
208600000X
Licence states on file
MN, SC, NV, ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-29

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