Timothy Charles Neitzke OD

NPI 1033133517 - Optometrist - 152W00000X

NPI Details
NPI 1033133517
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/14/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
340 FOX ST
PERHAM MN, 56573, US
Phone (218) 346-3310
Fax (218) 346-9064
Business Location
FRAZEE MN, 56544-8931, US
Phone (218) 346-5443
Taxonomy Code 152W00000X
License State Minnesota
License Number 2262
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According to our database, Dr. Timothy Charles Neitzke OD NPI is 1033133517, taxonomy code is 152W00000X and license number is 2262, license state is located at Minnesota. Timothy Charles Neitzke OD physically located at 340 Fox St, Perham MN, 56573. NPI Number Timothy Charles Neitzke OD has the Individual type.

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1033133517 NPI number is provided on an as is basis without warranty of any kind. 1033133517 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Charles Neitzke OD are for informational purposes only.