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Individual

DANIEL JOHN LEVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1100 19TH AVE N STE L&M, FARGO, ND 58102-5906
(701) 365-1150
Mailing address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-1183

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
473
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160525900
MN
Enumeration date
10/02/2006
Last updated
04/26/2018
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