Individual provider · Type 1 NPI

Debra Andvik, PAC

Medical Physician Assistant · Fargo, ND

NPI number 1821172404 Active

Practice location

3280 20th St S
Fargo, ND 58104-5917

Call (701) 499-4800 Map

Fax (701) 451-9452

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPAC0194 (ND)

Medical Physician Assistant: Definition to come...

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About NPI 1821172404

Debra Andvik, PAC's National Provider Identifier is 1821172404, issued on Oct 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fargo, ND. The record was last updated on Mar 4, 2009.