| Dr Shanon Mark Sell, DO | |
|
1401 13th Ave E, West Fargo, ND 58078-3468 | |
| (701) 364-5751 | |
| (701) 364-5722 |
| Full Name | Dr Shanon Mark Sell |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1401 13th Ave E, West 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 |
|---|---|---|---|
| 1609895879 | NPI | - | NPPES |
| 812913400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41077 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 6693 (North Dakota) | Primary |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shanon Mark Sell, DO Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-5751 | Dr Shanon Mark Sell, DO 1401 13th Ave E, West Fargo, ND 58078-3468 Ph: (701) 364-5751 |
Craig F Kuhlmann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
Richard T Vetter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
Anne E Kidder, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
Ronald J Borowicz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Sheyenne St, West Fargo, ND 58078 Phone: 701-234-4446 Fax: 701-282-4455 | |
Rory Ratzlaff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Sheyenne St, West Fargo, ND 58078 Phone: 701-234-4445 Fax: 701-234-4385 | |
Richard L Howden, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 |