DEBRA E ANDVIK PA

PLAINS MEDICAL CLINIC, LLC

Dr DEBRA E ANDVIK PA is a female medical professional, specializing in Physician Assistant. She graduated in 1998.

Contact

PLAINS MEDICAL CLINIC, LLC

3290 20TH S ST
FARGO
ND
581045917

Tel: 7014994800

DEBRA E ANDVIK PA Information

Npi 1821172404
Pac Id 4486649605
Professional Enrollment Id I20040417000123
Last Name ANDVIK
First Name DEBRA
Middle Name E
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 1998
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PLAINS MEDICAL CLINIC, LLC
Group Practice Pac Id 5890787170
Number Of Group Practice Members 5
Line 1 Street Address 3290 20TH S ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FARGO
State ND
Zip Code 581045917
Phone Number 7014994800
Hospital Affiliation Ccn 1 350011
Hospital Affiliation Lbn 1 SANFORD MEDICAL CENTER FARGO
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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