Grondahl, Brian Jacob

Grondahl, Brian Jacob is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Grondahl, Brian Jacob can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Phone: (701) 364-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101021290 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 68988 Minnesota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17241 North Dakota

Profile Details

NPI number 1750710554
LBN Legal business name Grondahl, Brian Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2013
Last updated Jun 7th, 2021 - about 4 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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