Individual
DR. BROOKE ERIN FENSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
I-29 AND 13TH AVE S, FARGO, ND 58103
(701) 277-9555
(701) 277-7112
Mailing address
4546 44TH ST S, FARGO, ND 58104-3980
(701) 238-7484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
635
ND
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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