| Organization Name: | LINDA F GOURNEAU MD PC |
| NPI Number: | 1003989252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA F GOURNEAU (OWNER) |
| Mailing Address: | 300 W Century Ave Bismarck |
| State: | ND US |
| Postal Code: | 585031401 |
| Phone Number: | 7013239900 |
| Fax Number: | 7013239911 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 6022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |