IndividualActive
Jonathan Dickson, MD
NPI 1063430619 · Cardiovascular Disease Physician · Fargo, ND
Provider details
- NPI number
- 1063430619
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4339 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-2000
Fax: (701) 234-3813
Approximate (ZIP-level) locationGet directions
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2012-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.