| |
61 Main St S, New London, MN 56273-5005 | |
(320) 354-2020 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 61 Main St S, New London, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508933011 | NPI | - | NPPES |
347472000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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61 Main St S, New London, MN 56273-5005 Ph: (320) 354-2020 | 61 Main St S, New London, MN 56273-5005 Ph: (320) 354-2020 |