| |
1405 Anne St Nw, Bemidji, MN 56601-5113 | |
(218) 759-1290 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1405 Anne St Nw, Bemidji, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134321151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1405 Anne St Nw, Bemidji, MN 56601-5113 Ph: (218) 759-1290 | 1405 Anne St Nw, Bemidji, MN 56601-5113 Ph: (218) 759-1290 |