Organization
KRISTIN F ENGSTROM, O.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN F ENGSTROM O.D. (OWNER)
(701) 281-2746
Entity
Organization
Contact information
Practice address
4731 13TH AVE S, FARGO, ND 58103-7205
(701) 281-2746
(701) 281-2747
Mailing address
4731 13TH AVE S, FARGO, ND 58103-7205
(701) 281-2746
(701) 281-2747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
582
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60598
—
ND
Enumeration date
09/15/2006
Last updated
08/22/2020
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