| Organization Name: | ORTHOPAEDIC ASSOCIATES OF FARGO |
| NPI Number: | 1023226529 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY HAUGEN (CEO) |
| Mailing Address: | 2301 25th St S Ste A Fargo |
| State: | ND US |
| Postal Code: | 581036104 |
| Phone Number: | 7012379712 |
| Fax Number: | 7012370922 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |