Individual
DAVID PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4551 S WASHINGTON ST STE H, GRAND FORKS, ND 58201-3495
(218) 791-6424
Mailing address
4551 S WASHINGTON ST STE H, GRAND FORKS, ND 58201-3495
(218) 791-6424
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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