Organization
KOSIR FAMILY EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN N KOSIR O. D. (PRESIDEN)
(701) 293-6716
Entity
Organization
Contact information
Practice address
4204 38TH AVE S, FARGO, ND 58104-7549
(701) 293-6716
Mailing address
4204 38TH AVE S, FARGO, ND 58104
(701) 293-6716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
633
ND
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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