NPI 1265694715
Breann Marie Forliti, OD
Practice location
- Address
- 12170 Aberdeen St NE, Blaine, MN 55449-4716
- Phone
- (763) 757-7000
- Fax
- (763) 757-3328
- Mailing address
- 3125 Kenwood St S, Cambridge, MN 55008-2640
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1265694715
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jun 2008
- Record last updated
- 27 Sep 2010
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.