Individual
MICHAEL RANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S 5TH ST, BISMARCK, ND 58504-5675
(701) 222-3937
(701) 751-3550
Mailing address
5301 COUNTRY CREEK DR, BISMARCK, ND 58503-1528
(701) 255-3070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
680
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437101888
BCBS
ND
01
—
1437101888
MEDICA
—
05
—
1437101888
—
MT
05
—
1437101888
—
SD
05
—
60672
—
ND
01
—
893195
BCBS & NDVSI
ND
01
—
P00802816
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
12/15/2020
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