Peter P. Dettlaff P. C.
NPI #1720105240 in Minot, North Dakota
Provider Information
- NPI Number
- 1720105240
- Entity Type
- Organization
- Organization Name
- Peter P. Dettlaff P. C.
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Sep 17, 2007
Practice Location
- Address
- 3900 S. BROADWAY ST.
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-7534
- Phone
- (701) 839-8726
Authorized Official
- Name
- DR. PETER P. DETTLAFF, O.D.
- Title
- PRESIDENT
- Phone
- (701) 839-8726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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