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NPI Code Detail

MEDICARE: DR. TAYA MARIE PATZMAN OD

MEDICARE:  DR. TAYA MARIE PATZMAN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist612ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750345252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAYA MARIE PATZMAN OD
Provider Business Mailing Address
First Line : 1320 CRESTVIEW LN
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3048
Country : US
Telephone Number : 701-258-8292
Fax Number :
Provider Business Practice Location Address
First Line : 1830 E CENTURY AVE
Second Line : STE. 1
City : BISMARCK
State : ND
Zip : 58503-0639
Country : US
Telephone Number : 701-222-1140
Fax Number : 701-222-1142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 12/13/2011

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Directions to “ DR. TAYA MARIE PATZMAN OD” Practice Location

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