Organization
ANV SERVICES LLC
Active
Other names
Advanced Neuro-Vision Systems
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRI POLTAVSKI PH.D (CHIEF RESEARCH SCIENTIST)
(218) 791-9247
Entity
Organization
Contact information
Practice address
4201 JAMES RAY DR, GRAND FORKS, ND 58202-6026
(701) 757-5132
Mailing address
2219 42ND AVE S, GRAND FORKS, ND 58201-3488
(218) 791-9247
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518045921
NPI
ND
Enumeration date
10/12/2017
Last updated
10/12/2017
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