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Individual

ERIC SCOTT VONHOLDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4344 20TH AVE SW, FARGO, ND 58103-7436
(701) 293-8242
Mailing address
610 30TH AVE W STE 200, ALEXANDRIA, MN 56308-3426

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3184
MN
152W00000X
Optometrist
Primary
678
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428670300
MN
Enumeration date
05/19/2009
Last updated
02/25/2011
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