Gordon Eugene Dramen OD

NPI 1023120763 - Optometrist - 152W00000X

NPI Details
NPI 1023120763
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
380 33RD AVE S
SAINT CLOUD MN, 56301-3716, US
Phone (320) 259-5880
Fax (320) 259-6084
Business Location
2221 HIGHWAY 25 SE
BUFFALO MN, 55313-5308, US
Phone (763) 682-0055
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number MN2399
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According to our database, Dr. Gordon Eugene Dramen OD NPI is 1023120763, taxonomy code is 152W00000X and license number is MN2399, license state is located at Minnesota. Gordon Eugene Dramen OD physically located at 380 33rd Ave S, Saint Cloud MN, 56301-3716. NPI Number Gordon Eugene Dramen OD has the Individual type.

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1023120763 NPI number is provided on an as is basis without warranty of any kind. 1023120763 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Eugene Dramen OD are for informational purposes only.