Whalio Doctors

NPI 1437451440

David Pederson

Practitioner Optician Grand Forks, ND

Practice location

Address
4551 S Washington St STE H, Grand Forks, ND 58201-3495
Phone
(218) 791-6424

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1437451440
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Nov 2010
Record last updated
23 Nov 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.