Individual
DR. THOMAS M KILZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1929 N WASHINGTON ST, BISMARCK, ND 58501-1616
(701) 258-6100
(701) 258-9882
Mailing address
PO BOX 1835, BISMARCK, ND 58502-1835
(701) 258-6100
(701) 258-9882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60138
—
ND
Enumeration date
08/29/2005
Last updated
11/15/2007
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