David Pederson
NPI #1437451440 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1437451440
- Entity Type
- Individual
- Name
- David Pederson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Nov 23, 2010
- Last Updated
- Nov 23, 2010
Practice Location
- Address
- 4551 S WASHINGTON ST STE H
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-3495
- Phone
- (218) 791-6424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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