Autumn Vasichek, BMOD
Autumn Vasichek, BMOD is a Specialist in Grand Forks, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.
- Licensed in
- ND
- In the registry since
- 2024
Practice location Address checks out
151 S 4th St Ste 401Grand Forks, ND 58201-4715
Phone: (701) 795-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (ND) |
|---|
Record details
| NPI number | 1003658527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BMOD |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2024 |
| Last updated in NPPES | May 15, 2026 |
| Certification date | May 15, 2026 |
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