Individual
TAYLOR RAE ERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3119 N 14TH ST, BISMARCK, ND 58503-0664
(701) 222-3937
(701) 222-8805
Mailing address
200 S 5TH ST, BISMARCK, ND 58504-5675
(701) 222-3937
(701) 222-8805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
813
ND
152W00000X
Optometrist
Primary
OPT.0003597
CO
Other
Enumeration date
06/04/2020
Last updated
01/10/2024
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