Individual
BENJAMIN VERKUILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
819
ND
Other
Enumeration date
05/30/2024
Last updated
06/15/2024
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