Gonzales, Michael F

Gonzales, Michael F is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Gonzales, Michael F can be contacted via phone (701) 280-4540.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Phone: (701) 280-4540
Fax: (701) 280-4492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9573 North Dakota
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 9573 North Dakota

Profile Details

NPI number 1538180765
LBN Legal business name Gonzales, Michael F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jan 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538180765 NPPES
North Dakota MEDICAID 12928

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