NPI 1649343930

Douglas John Stavenger, ABO

Practitioner Optician Fargo, ND

Practice location

Address: 1547 So University Dr, Fargo, ND 58103
Phone: (701) 235-5185
Fax: (701) 232-4965

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in North Dakota →

Registry record

NPI: 1649343930
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2006
Record last updated: 4 Feb 2009

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.