| Janet K Tillisch, MD | |
| 1702 University Dr S, Fargo, ND 58103-4940 | |
| (701) 364-3300 | |
| (701) 364-8906 | 
| Full Name | Janet K Tillisch | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1702 University Dr S, Fargo, North Dakota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417988163 | NPI | - | NPPES | 
| ND100012 | Other | ND | LHS # | 
| 015795300 | Medicaid | ND | |
| 28064TI | Other | ND | MNBS # | 
| 91423TI | Other | ND | MNBS # | 
| 1201177 | Other | ND | MEDICA # | 
| 1203181 | Other | ND | MEDICA # | 
| 142074 | Other | ND | UCARE # | 
| 1877 | Other | ND | NDBS # | 
| 10168 | Medicaid | ND | |
| 1201797 | Other | ND | MEDICA # | 
| 6419 | Other | MN | NDBS # | 
| 765120 | Other | ND | AMERICA'S PPO/ARAZ # | 
| 8253 | Other | ND | SIOUX VALLEY # | 
| DA9011015596 | Other | ND | PREFERRED ONE # | 
| HP19569 | Other | ND | HEALTHPARTNERS # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 4237 (North Dakota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Janet K Tillisch, MD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300 | Janet K Tillisch, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 | 
| Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831 | |
| Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
| Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194 | |
| Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740 | |
| Dr. Samuel Odame Anim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
| Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
| Rachel Katherine Heinze, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 |