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NPI 1194784918 · live from the CMS NPI Registry

James Alan Berglund, pa-c

Physician Assistant in Fargo, ND. National Provider Identifier 1194784918, active.

NPI record

NPI1194784918 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location2101 Elm St N, Fargo, ND 58102
Practice phone701-232-3241
Mailing address2530 25th Ave S, Fargo, ND 58103
EnumeratedMarch 21, 2006
Last updatedJuly 8, 2007
Sole proprietorNo
Other namesJames Berglund

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000Xpac0008 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.