Individual
MR. EDWARD GEORGE VIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CARE COORDINATOR
Contact information
Practice address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Mailing address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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