Healthcare Provider Details

I. General information

NPI: 1396724282
Provider Name (Legal Business Name): TODD M PRESZLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 11/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N 10TH ST
BISMARCK ND
58501-4516
US

IV. Provider business mailing address

310 N 10TH ST
BISMARCK ND
58501-4516
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-7500
  • Fax: 701-530-7484
Mailing address:
  • Phone: 701-530-7500
  • Fax: 701-530-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number48018
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: