John M Elverum OD

NPI 1053463554 - Optometrist - 152W00000X

NPI Details
NPI 1053463554
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7013 10TH ST N
OAKDALE MN, 55128-5938, US
Phone (651) 738-8040
Fax (651) 714-0759
Business Location
7013 10TH ST N
OAKDALE MN, 55128-5938, US
Phone (651) 738-8040
Fax (651) 714-0759
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 1460
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According to our database, Dr. John M Elverum OD NPI is 1053463554, taxonomy code is 152W00000X and license number is 1460, license state is located at Minnesota. John M Elverum OD physically located at 7013 10th St N, Oakdale MN, 55128-5938. NPI Number John M Elverum OD has the Individual type.

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1053463554 NPI number is provided on an as is basis without warranty of any kind. 1053463554 is maintained by the National Plan & Provider Enumeration System. The contents of John M Elverum OD are for informational purposes only.