Whalio Doctors

NPI 1013260850

Erica L Wiegandt, OD

Practitioner Optometrist Grand Forks, ND

Practice location

Address
4440 South Washington Street, Grand Forks, ND 58201
Phone
(701) 780-5000
Mailing address
2401 Demers Ave, Grand Forks, ND 58201-4183

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 732 (ND)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1013260850
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Oct 2012
Record last updated
28 Sep 2020

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.