person
Douglas John Stavenger, ABO
Optician in Fargo, North Dakota
NPI 1649343930

Douglas John Stavenger is a Optician based in Fargo, ND and is specialized in Optician. Douglas John Stavenger practices in Fargo, ND and has the professional credentials of ABO. The NPI Number for Douglas John Stavenger is 1649343930 and holds a License No. (North Dakota).

The current practice location address for Douglas John Stavenger is 1547 So University Dr, Fargo, ND and can be reached out via phone at 701-235-5185 and via fax at 701-232-4965.

Location: 1547 So University Dr, Fargo, ND, 58103
person
Provider Profile Details
NPI Number
1649343930
Provider Name
Douglas John Stavenger
Credential
ABO
Provider Entity Type
Individual
Gender
Male
Address
1547 So University Dr, Fargo, ND, 58103
Phone Number
701-235-5185
Fax Number
701-232-4965
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1547 So University Dr
City
State
Zip
58103
Phone Number
701-235-5185
Fax Number
701-232-4965
person
Provider Business Mailing Address Details
Address
1547 So University Dr
City
State
Zip
58103
Phone Number
701-235-5185
Fax Number
701-232-4965
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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