Individual
JOSEPH A THORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
118 THIRD ST NE, ROLLA, ND 58367-1170
(701) 477-5656
(701) 477-5675
Mailing address
118 THIRD ST NE, PO BOX 1170, ROLLA, ND 58367-1170
(701) 477-5656
(701) 477-5675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
540
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60481
—
ND
Enumeration date
07/17/2006
Last updated
03/04/2009
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