Great Northern Opticians

NPI 1093933483 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1093933483
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHERYL L CHERYL
Position OPTICIAN
Phone (218) 829-1335
Fax (218) 829-2303
Practice Location
2020 S 6TH ST
BRAINERD MN, 56401-4529, US
Phone (218) 829-1335
Fax (218) 829-2303
Business Location
2020 S 6TH ST
BRAINERD MN, 56401-4529, US
Phone (218) 829-1335
Fax (218) 829-2303
Toxanomy
Taxonomy Code 332B00000X
License State Minnesota
License Number 5794287
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According to our database, Great Northern Opticians NPI is 1093933483, taxonomy code is 332B00000X and license number is 5794287, license state is located at Minnesota. Great Northern Opticians physically located at 2020 S 6th St, Brainerd MN, 56401-4529. NPI Number 1033115704 has the healthcare provider type.

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1093933483 NPI number is provided on an as is basis without warranty of any kind. 1093933483 is maintained by the National Plan & Provider Enumeration System. The contents of Great Northern Opticians are for informational purposes only.