Douglas John Stavenger, ABO
Douglas John Stavenger, ABO is an Optician in Fargo, North Dakota. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1547 So University DrFargo, ND 58103
Phone: (701) 235-5185
Fax: (701) 232-4965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1649343930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ABO |
| Sole proprietor | No |
| NPI enumerated | November 16, 2006 |
| Last updated in NPPES | February 4, 2009 |
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