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

Dr. Corey John Kroetsch, MD

Individual provider Surgery Physician · NPI 1194987669

Dr. Corey John Kroetsch, MD is a Surgery Physician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2008.

Licensed in
ND
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 12072 (ND)
Surgery Physician Taxonomy 208600000X · Licence RL10258 (ND)

Record details

NPI number1194987669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address2101 Elm St N, Fargo, ND 58102-2417

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