Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sickbay PLLC

Organization General Practice Physician · NPI 1104525898

Sickbay PLLC is a General Practice Physician in Mandan, North Dakota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4108 39th Ave NW
Mandan, ND 58554-1253
Phone: (701) 426-4291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1104525898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ezra Koch — Member · (701) 426-4291
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address4108 39th Ave Nw, Mandan, ND 58554-1253

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