HAILY DATZ
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1013472018- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 910 18TH ST NW, MANDAN, ND, 585541612
- Phone
- (701) 667-5100
- Fax
- (701) 667-5095
Specialties & Taxonomies
Family Medicine
Primary License: ND #24648