MICHAEL A CANDREVA, OD

NPI: 1346388915 · Individual · Active

Primary Specialty

Optometrist

Practice Location

10 N RIVER ROAD
FORT YATES, ND 58538 Map ↗
Phone: 701-854-8248
Fax: 701-854-7411

All Specialties & Licenses

  • Optometrist Primary (license: CO1796, CO)

NPI Registration

Enumerated: 2007-02-03

Last CMS Update: 2018-08-17

Deactivated: 2007-07-17

Reactivated: 2007-08-07