| NPI Details | |
|---|---|
| NPI | 1194014910 |
| Enumeration Date | 04/01/2011 |
| Last Updated | 04/01/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | DANIEL M DANIEL |
| Position | PRESIDENT |
| Phone | (651) 385-0886 |
| Fax | |
| Practice Location | |
|---|---|
| 295 TYLER RD S RED WING MN, 55066-1736, US |
|
| Phone | (651) 385-0886 |
| Fax | |
| Business Location | |
|---|---|
| 2404 VIKING DR NW ROCHESTER MN, 55901-3535, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | Minnesota |
| License Number | 2396 |
| Remove 1194014910 NPI Number | |
According to our database, Cottrell,lloyd Optometric,pa Inc. NPI is 1194014910, taxonomy code is 152W00000X and license number is 2396, license state is located at Minnesota. Cottrell,lloyd Optometric,pa Inc. physically located at 295 Tyler Rd S, Red Wing MN, 55066-1736. NPI Number 1033115704 has the healthcare provider type.
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1194014910 NPI number is provided on an as is basis without warranty of any kind. 1194014910 is maintained by the National Plan & Provider Enumeration System. The contents of Cottrell,lloyd Optometric,pa Inc. are for informational purposes only.
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