Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS JOHN STAVENGER, ABO
ActiveDOUGLAS JOHN STAVENGER, ABO is a Optician, Dispensing healthcare provider located in FARGO, North Dakota. NPI 1649343930 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · FARGO, ND
Registration Details
- NPI Number
- 1649343930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.703744422501 yrs)
- Last Updated
- Feb 4, 2009
Practice Information
- Address
-
1547 SO UNIVERSITY DRFARGO, ND, 58103Browse ND providers · Browse ZIP 58103
- Phone
- 7012355185
- Fax
- 7012324965
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| MS. TERESA LYNN LISBURG | OPTICIAN | 1770833675 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.