Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDRIC LEE BLACK, DO
ActiveFamily Medicine · GRAND FORKS, ND
Registration Details
- NPI Number
- 1306943188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.58342879718 yrs)
- Last Updated
- Dec 28, 2007
- License
-
7575 (ND)
Practice Information
- Address
-
1000 SOUTH COLUMBIA ROADGRAND FORKS, ND, 582066002Browse ND providers · Browse ZIP 58206
- Phone
- 7017805000
- Fax
- 7017801942
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND FORKS, ND
| Name | Credential | NPI |
|---|---|---|
| JONATHON H BERG | MD | 1073513982 |
| DR. PAUL C PALECEK | MD | 1952398695 |
| MARK J CHRISTENSON | M.D. | 1093774499 |
| TIMOTHY M. HEINLEY | M.D. | 1629037031 |
| ELIZABETH A. BURNS | M.D. | 1811956154 |
| CHARLES E. CHRISTIANSON | M.D. | 1083674337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.