D. Stanton Enterprises, Llc

NPI 1063594109 - Optometrist - 152W00000X

NPI Details
NPI 1063594109
Enumeration Date 10/19/2006
Last Updated 05/12/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEAH M LEAH
Position OWNER/OPERATOR
Phone (763) 428-3757
Fax (763) 428-9820
Practice Location
13900 NORTHDALE BOULEVARD
ROGERS MN, 55374, US
Phone (763) 428-3757
Fax (763) 428-9820
Business Location
13900 NORTHDALE BOULEVARD
ROGERS MN, 55374, US
Phone (763) 428-3757
Fax (763) 428-9820
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2611
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According to our database, D. Stanton Enterprises, Llc NPI is 1063594109, taxonomy code is 152W00000X and license number is 2611, license state is located at Minnesota. D. Stanton Enterprises, Llc physically located at 13900 Northdale Boulevard, Rogers MN, 55374. NPI Number 1033115704 has the healthcare provider type.

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1063594109 NPI number is provided on an as is basis without warranty of any kind. 1063594109 is maintained by the National Plan & Provider Enumeration System. The contents of D. Stanton Enterprises, Llc are for informational purposes only.