| |
115 5th St N, Breckenridge, MN 56520-1434 | |
(218) 643-5270 | |
(218) 643-5271 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 115 5th St N, Breckenridge, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831371301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2018MN (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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115 5th St N, Breckenridge, MN 56520-1434 Ph: (218) 643-5270 | 115 5th St N, Breckenridge, MN 56520-1434 Ph: (218) 643-5270 |