Eric M Tjelle OD

NPI 1093732612 - Optometrist - 152W00000X

NPI Details
NPI 1093732612
Gender Male
Enumeration Date 07/17/2006
Last Updated 04/20/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1720 HWY 59 SE
SUITE 1 BOX 505
THIEF RIVER FALLS MN, 56701, US
Phone (218) 681-3300
Fax (218) 681-6733
Business Location
1720 HWY 59 SE
SUITE 1 BOX 505
THIEF RIVER FALLS MN, 56701, US
Phone (218) 681-3300
Fax (218) 681-6733
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2833
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According to our database, Dr. Eric M Tjelle OD NPI is 1093732612, taxonomy code is 152W00000X and license number is 2833, license state is located at Minnesota. Eric M Tjelle OD physically located at 1720 Hwy 59 Se, Thief River Falls MN, 56701. NPI Number Eric M Tjelle OD has the Individual type.

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1093732612 NPI number is provided on an as is basis without warranty of any kind. 1093732612 is maintained by the National Plan & Provider Enumeration System. The contents of Eric M Tjelle OD are for informational purposes only.