Angela R. Gulbranson, Od P.c.

NPI 1154754489 - Optometrist - 152WV0400X

NPI Details
NPI 1154754489
Enumeration Date 08/09/2013
Last Updated 08/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANGELA R ANGELA
Position OWNER
Phone (605) 271-7100
Fax (605) 271-7781
Practice Location
6144 S LYNCREST AVE
SIOUX FALLS SD, 57108-2560, US
Phone (605) 271-7100
Fax (605) 271-7781
Business Location
6144 S LYNCREST AVE
SIOUX FALLS SD, 57108-2560, US
Phone (605) 271-7100
Fax (605) 271-7781
Toxanomy
Taxonomy Code 152WV0400X
License State South Dakota
License Number 565
Remove 1154754489 NPI Number
 

According to our database, Angela R. Gulbranson, Od P.c. NPI is 1154754489, taxonomy code is 152WV0400X and license number is 565, license state is located at South Dakota. Angela R. Gulbranson, Od P.c. physically located at 6144 S Lyncrest Ave, Sioux Falls SD, 57108-2560. NPI Number 1033115704 has the healthcare provider type.

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1154754489 NPI number is provided on an as is basis without warranty of any kind. 1154754489 is maintained by the National Plan & Provider Enumeration System. The contents of Angela R. Gulbranson, Od P.c. are for informational purposes only.