NPI 1124184403

Sanford Medical Center Fargo

Organisation Eyewear Supplier Detroit Lakes, MN

Practice location

Address: 1234 Washington Ave STE a, Detroit Lakes, MN 56501-3906
Phone: (218) 846-2000
Fax: (701) 234-2045
Mailing address: PO Box 2168, Fargo, ND 58107-2168

Authorised official

Name: Tony Lee Morrison
Title: Vp, Finance
Phone: (605) 328-8380

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Minnesota →

Registry record

NPI: 1124184403
Entity type: Organization
NPI issued: 29 Dec 2006
Record last updated: 2 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.