Healthcare Provider Details

I. General information

NPI: 1982031746
Provider Name (Legal Business Name): TURTLE MOUNTAIN FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2013
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MAIN STREET NE
DUNSEITH ND
58329
US

IV. Provider business mailing address

115 MAIN STREET NE
DUNSEITH ND
58329
US

V. Phone/Fax

Practice location:
  • Phone: 701-244-5800
  • Fax: 701-244-5801
Mailing address:
  • Phone: 701-244-5800
  • Fax: 701-244-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN LEE SELLAND
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 701-244-5800