Healthcare Provider Details

I. General information

NPI: 1922335538
Provider Name (Legal Business Name): HARVEY CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 9TH ST E
HARVEY ND
58341-1503
US

IV. Provider business mailing address

110 9TH ST E PO 202
HARVEY ND
58341-1503
US

V. Phone/Fax

Practice location:
  • Phone: 701-324-2396
  • Fax: 701-324-5210
Mailing address:
  • Phone: 701-324-2396
  • Fax: 701-324-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5076
License Number StateND

VIII. Authorized Official

Name: DR. ALAN R LINDEMANN
Title or Position: PRESIDENT
Credential: MD
Phone: 701-324-2396