| Craig W Holland, DO | |
|
2101 Elm Street N, Fargo, ND 58102 | |
| (701) 239-3700 | |
| Not Available |
| Full Name | Craig W Holland |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2101 Elm Street N, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528002243 | NPI | - | NPPES |
| 1528002243 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010552 (Michigan) | Primary |
| Entity Name | Aspirus Ironwood Hospital & Clinics Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1649297342 PECOS PAC ID: 6406756691 Enrollment ID: O20070223000676 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig W Holland, DO 2101 Elm Street N, Fargo, ND 58102 Ph: (701) 239-3700 | Craig W Holland, DO 2101 Elm Street N, Fargo, ND 58102 Ph: (701) 239-3700 |
Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 | |
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950 | |
Megan Harrington, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Christine Hanish O'donnell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 |