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Individual

DR. THOMAS JAMES RENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1695 43RD ST S, FARGO, ND 58103-3317
(701) 235-3937
(701) 491-7463
Mailing address
1695 43RD ST S, FARGO, ND 58103-3317
(701) 235-3937
(701) 491-7463

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
571
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410037872
TRAVELERS MEDICARE
ND
Enumeration date
10/09/2008
Last updated
05/30/2024
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