Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY K LYSTAD, MD
ActiveJEFFREY K LYSTAD, MD is a Sports Medicine healthcare provider located in FARGO, North Dakota. NPI 1710904487 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · FARGO, ND
Registration Details
- NPI Number
- 1710904487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.03280902539 yrs)
- Last Updated
- Nov 29, 2011
- License
-
7448 (ND)
Practice Information
- Address
-
2301 25TH ST SFARGO, ND, 581036104Browse ND providers · Browse ZIP 58103
- Phone
- 7012379712
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| DANIEL K OSTLIE | MD | 1083632673 |
| ANDREW GLOGOZA | DO | 1073000527 |
| TEMITAYO OLAOLUWA OLABISI | MD | 1437737202 |
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.