Lance K Bergstrom Md, PC
NPI #1801819826 in Fargo, North Dakota
Provider Information
- NPI Number
- 1801819826
- Entity Type
- Organization
- Organization Name
- Lance K Bergstrom Md, PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 22, 2010
Practice Location
- Address
- 2601 UNIVERSITY DR S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6025
- Phone
- (701) 235-5200
Authorized Official
- Name
- DR. LANCE BERGSTROM, M.D.
- Title
- OWNER
- Phone
- (701) 235-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Specialist |
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