Individual
DR. BRANDEN L PERZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4731 13TH AVE S, FARGO, ND 58103-7269
(701) 281-2746
Mailing address
4788 48TH AVE S, FARGO, ND 58104-6040
(503) 347-6948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
664
ND
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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