Individual
ADAM MOTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1300 GATEWAY DR S, FARGO, ND 58103-3509
(701) 235-0280
(701) 235-3326
Mailing address
1400 10TH AVENUE NE APARTMENT 214, JAMESTOWN, ND 58401-2866
(701) 320-5902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ND704
ND
Other
Enumeration date
10/14/2009
Last updated
12/20/2023
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