Individual
BLAINE G ZIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3600
(701) 234-3672
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3600
(701) 234-3672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
482
ND
152WC0802X
Corneal and Contact Management Optometrist
482
ND
Other
Enumeration date
07/22/2006
Last updated
03/25/2022
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