Individual
AMY M MITZEL DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3232 13TH AVE S, FARGO, ND 58103
(701) 280-3000
(701) 280-1304
Mailing address
3232 13TH AVE S, FARGO, ND 58103
(701) 280-3000
(701) 280-1304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
572
ND
Other
Enumeration date
05/23/2006
Last updated
08/27/2010
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