DR. Destin Ross Coles, O.D.

NPI #1275695025 in East Grand Forks, Minnesota

Provider Information

NPI Number: 1275695025
Entity Type: Individual
Name: DR. Destin Ross Coles, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 421 DEMERS AVE
City: East Grand Forks
State: Minnesota
ZIP Code: 56721-1835
Phone: (218) 773-3438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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