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Individual

DR. WYMAN A JORGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ND0336
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2203146
MEDICA
MN
01
25387
BCBS ND
ND
05
364223200
MN
05
60152
ND
01
624891045681
PREFERRED ONE
ND
01
84M91JO
BCBS MN
MN
01
P00215724
RAILROAD MEDICARE
ND
Enumeration date
07/14/2006
Last updated
06/16/2008
Update your record

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