Maynard, Walisa K

Maynard, Walisa K is an individual health care provider with primary practice located at 2101 Elm St N , Fargo ND 58102-2417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Maynard, Walisa K can be contacted via phone (701) 239-3700.

Contact Information

Primary practice address
2101 Elm St N Fargo ND 58102-2417
Phone: (701) 239-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 50658 Georgia

Profile Details

NPI number 1609906973
LBN Legal business name Maynard, Walisa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jun 6th, 2024 - about 6 months 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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