Bruce D Babcock OD

NPI 1073577417 - Optometrist - 152W00000X

NPI Details
NPI 1073577417
Gender Male
Enumeration Date 04/13/2006
Last Updated 10/18/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
8611 W POINT DOUGLAS RD S
COTTAGE GROVE MN, 55016-4005, US
Phone (651) 458-1884
Fax
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-5000
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2518
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According to our database, Bruce D Babcock OD NPI is 1073577417, taxonomy code is 152W00000X and license number is 2518, license state is located at Minnesota. Bruce D Babcock OD physically located at 8611 W Point Douglas Rd S, Cottage Grove MN, 55016-4005. NPI Number Bruce D Babcock OD has the Individual type.

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1073577417 NPI number is provided on an as is basis without warranty of any kind. 1073577417 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce D Babcock OD are for informational purposes only.