Whalio Doctors

NPI 1164440749

Bruce a Nelson, MD

Practitioner Ophthalmology Physician Fargo, ND

Practice location

Address
2400 32nd Ave S, Fargo, ND 58103-5800
Phone
(701) 234-3640
Fax
(701) 234-3672
Mailing address
1720 University Dr S, Fargo, ND 58103-4940

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4258 (ND)

Registry record

NPI
1164440749
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jul 2006
Record last updated
30 Nov 2011

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.