Basic Information
Provider Information
NPI: 1679899116
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VAN NINGEN
FirstName: AARON
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 222 N 7TH ST
Address2:  
City: BISMARCK
State: ND
PostalCode: 585014436
CountryCode: US
TelephoneNumber: 7013236000
FaxNumber: 7013235709
Practice Location
Address1: 222 N 7TH ST
Address2:  
City: BISMARCK
State: ND
PostalCode: 585014436
CountryCode: US
TelephoneNumber: 7013236000
FaxNumber: 7013235709
Other Information
ProviderEnumerationDate: 04/08/2010
LastUpdateDate: 03/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X57027WIN Allopathic & Osteopathic PhysiciansPediatrics 
208M00000X57027WIN Allopathic & Osteopathic PhysiciansHospitalist 
208000000X13348NDY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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