DOREEN JOAN GIGSTAD STAVE

SANFORD CLINIC NORTH

Dr DOREEN JOAN GIGSTAD STAVE is a female medical professional, specializing in Physician Assistant. She graduated in 1993.

Contact

SANFORD CLINIC NORTH

332 2ND AVE N
WAHPETON
ND
580754528

Tel: 7016427000

DOREEN JOAN GIGSTAD STAVE Information

Npi 1497772354
Pac Id 2264628957
Professional Enrollment Id I20101119000825
Last Name GIGSTAD STAVE
First Name DOREEN
Middle Name JOAN
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1993
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANFORD CLINIC NORTH
Group Practice Pac Id 4284546151
Number Of Group Practice Members 417
Line 1 Street Address 332 2ND AVE N
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WAHPETON
State ND
Zip Code 580754528
Phone Number 7016427000
Hospital Affiliation Ccn 1 350011
Hospital Affiliation Lbn 1 SANFORD MEDICAL CENTER FARGO
Hospital Affiliation Ccn 2 351329
Hospital Affiliation Lbn 2 SANFORD HILLSBORO
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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