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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Skin Win Dermatology | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Medicaid Provider ID: 1484138 | [sources] | |||
| NPI | 1992343198 | [sources] | |||
| Sector | Ambulatory Health Care Facility | [sources] | |||
| Status | not available | [sources] | |||
| Address | 1213 15th Ave W Suite 102 Williston, ND 58801 | [sources] | |||
| Last change | Last processed | First seen | |||
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States · NDHHS
For experts: raw data explorer
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