Individual
DR. DESTIN ROSS COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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 2851
MN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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