| Sickbay PLLC | |
|
4108 39th Ave Nw Mandan ND 58554-1253 | |
| (701) 426-4291 | |
| Not Available |
| Full Name | Sickbay PLLC |
|---|---|
| Speciality | General Practice |
| Location | 4108 39th Ave Nw, Mandan, North Dakota |
| Authorized Official Name and Position | Ezra Koch (MEMBER) |
| Authorized Official Contact | 7014264291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sickbay PLLC 4108 39th Ave Nw Mandan ND 58554-1253 | Sickbay PLLC 4108 39th Ave Nw Mandan ND 58554-1253 Ph: (701) 426-4291 |
| NPI Number | 1104525898 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104525898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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