Individual
JAMES WILLIAM ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 237-2683
Mailing address
3238 43RD AVE S, FARGO, ND 58104-6635
(701) 298-0730
(701) 298-0730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2579
MN
152W00000X
Optometrist
Primary
581
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430628700
—
MN
Enumeration date
08/31/2006
Last updated
03/18/2013
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