| |
603 Douglas Ave, Henning, MN 56551-4109 | |
(218) 583-4673 | |
(218) 548-5671 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 603 Douglas Ave, Henning, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760829568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2336 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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603 Douglas Ave, Henning, MN 56551-4109 Ph: (218) 583-4673 | 603 Douglas Ave, Henning, MN 56551-4109 Ph: (218) 583-4673 |