Individual provider · Type 1 NPI

Autumn Vasichek, B-MOD, CM

Specialist · Grand Forks, ND

NPI number 1003658527 Active

Practice location

151 S 4th St Ste 401
Grand Forks, ND 58201-4715

Call (701) 795-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003658527

Autumn Vasichek, B-MOD, CM's National Provider Identifier is 1003658527, issued on Jun 7, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Forks, ND. The record was last updated on Sep 4, 2026.