Ka Bloomquist Rg Bakewell Od Pa

NPI 1093891624 - Optometrist - 152W00000X

NPI Details
NPI 1093891624
Enumeration Date 10/27/2006
Last Updated 09/12/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN D JOHN
Position PRESIDENT
Phone (320) 763-4321
Fax (320) 763-6921
Practice Location
120 12TH AVE E
ALEXANDRIA MN, 56308, US
Phone (320) 763-4321
Fax (320) 763-6921
Business Location
PO BOX 789
120 12TH AVE E
ALEXANDRIA MN, 56308, US
Phone (320) 763-4321
Fax (320) 763-6921
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Ka Bloomquist Rg Bakewell Od Pa NPI is 1093891624, taxonomy code is 152W00000X Ka Bloomquist Rg Bakewell Od Pa physically located at 120 12th Ave E, Alexandria MN, 56308. NPI Number 1033115704 has the healthcare provider type.

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1093891624 NPI number is provided on an as is basis without warranty of any kind. 1093891624 is maintained by the National Plan & Provider Enumeration System. The contents of Ka Bloomquist Rg Bakewell Od Pa are for informational purposes only.