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Organization

FORKS OPTOMETRIC, LTD.

Active
Other names
Opticare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE ALLEN STORHAUG O.D. (OPTOMETRIST)
(218) 773-2400
Entity
Organization

Contact information

Practice address
421 DEMERS AVE, EAST GRAND FORKS, MN 56721-1835
(218) 773-3438
(218) 773-1645
Mailing address
421 DEMERS AVE, EAST GRAND FORKS, MN 56721-1835
(218) 773-3438
(218) 773-1645

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN

Other

Enumeration date
02/27/2007
Last updated
03/06/2012
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