Individual
NATHAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4360 13TH AVE S, FARGO, ND 58103-3391
(701) 282-5880
Mailing address
4360 13TH AVE S, FARGO, ND 58103-3391
(701) 282-5880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3887
MN
152W00000X
Optometrist
Primary
826
ND
Other
Enumeration date
07/18/2022
Last updated
02/21/2025
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