Douglas John Stavenger, ABO
NPI #1649343930 in Fargo, North Dakota
Provider Information
- NPI Number
- 1649343930
- Entity Type
- Individual
- Name
- Douglas John Stavenger, ABO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABO
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Feb 4, 2009
Practice Location
- Address
- 1547 SO UNIVERSITY DR
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103
- Phone
- (701) 235-5185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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