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Peter Dettlaff, O.D
NPI 1619049277 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3900 S. Broadway St.
Minot, ND 58701 - Phone
- (701) 839-8726
- Organisation at this address
- Peter P. Dettlaff P. C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota