Female

Madison R. Bosh

Optometrist in West Fargo, ND(View on Map)

Full Name

Madison Rae Bosh

NPI Number

1295414472

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/14/2023

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

808

Contact
Information

Purpose

Mailing
Location

Address

3101 W 57TH ST
354 23RD AVE E

City

Sioux Falls
West Fargo

State

SD
ND

Postal Code

57108-3162
58078-7820

Country

US
US

Telephone Number

N/A
(701) 566-5390

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/21/2024

Provider Address

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