NPI 1790856839 · live from the CMS NPI Registry
Chad Matthew Vandrovec, M.D.
Anesthesiology in Fargo, ND. National Provider Identifier 1790856839, active.
NPI record
| NPI | 1790856839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 5225 23rd Ave S, Fargo, ND 58104 |
| Practice phone | 701-417-2575 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | November 12, 2006 |
| Last updated | July 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 46262-020 (WI) |
| Anesthesiology primary | 207L00000X | 11097 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.