Whalio Doctors

NPI 1154427565

Kristin F Engstrom, OD

Practitioner Optometrist Fargo, ND

Practice location

Address
4731 13th Ave S, Fargo, ND 58103-7205
Phone
(701) 281-2746
Fax
(701) 281-2747
Mailing address
4607 Timberline Dr S, Fargo, ND 58104

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 582 (ND)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2512 (MN)

Registry record

NPI
1154427565
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Sep 2006
Record last updated
29 Sep 2017

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.