Individual provider · Type 1 NPI

Brian Jacob Grondahl, DO

Cardiovascular Disease Physician · Fargo, ND

NPI number 1750710554 Active

Practice location

3000 32nd Ave S
Fargo, ND 58103-6132

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X5101021290 (MI)
Cardiovascular Disease Physician 207RC0000X68988 (MN)
Cardiovascular Disease Physician Primary 207RC0000X17241 (ND)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1750710554

Brian Jacob Grondahl, DO's National Provider Identifier is 1750710554, issued on Nov 2, 2013. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fargo, ND. The record was last updated on Jun 7, 2021.