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SUSAN M VITALIS MD
NPI 1669493904
Family Medicine in Fargo, ND

Active since July 22, 2006
737 BROADWAY N, FARGO, ND 58122(701) 234-4811(701) 234-6979 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan M Vitalis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN M VITALIS MD (NPI 1669493904) is an individual family medicine provider in Fargo, North Dakota, licensed in Minnesota (31744) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1669493904
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN M VITALISCredential: MD
Location Address737 BROADWAY NFargo, ND 58122-0001
Mailing Address665 3rd St SwPerham, MN 56573-1108 · (218) 347-1200 · Fax (218) 346-4043
Phone(701) 234-4811
Fax(701) 234-6979
Sole ProprietorNo
Enumeration DateJuly 22, 2006
Last NPPES UpdateDecember 27, 2007
✔ NPI 1669493904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 31744
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
737 BROADWAY N, Fargo, ND 58122
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEROME I THOMPSON MD
Surgery
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
KENNETH E CHRISTIANSON PHD
Psychologist (Psychoanalysis)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
SANFORD MEDICAL CENTER FARGO
Clinical Medical Laboratory
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 280-4927
ALICE M CHRISTIANSON LPCC
Family Medicine (Addiction Medicine)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
ROGER R PRESZLER PA-C
Physician Assistant (Medical)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
KAREN M MOSEY CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
RICHARD WAYNE PREUSSLER LPCC
Counselor (Professional)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
MRS. STEPHANIE MARIE PERREAULT PHARM.D.
Pharmacist
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-2320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Vitalis's NPI number?

The NPI number for Susan Vitalis is 1669493904. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Susan Vitalis located?

Susan Vitalis practices at 737 Broadway N, Fargo, ND 58122. The listed phone number is (701) 234-4811.

What is Susan Vitalis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Vitalis was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.