Northeast Eye Care Of Hugo

NPI 1437276763 - Optometrist - 152W00000X

NPI Details
NPI 1437276763
Enumeration Date 03/23/2007
Last Updated 05/17/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KRISTI A KRISTI
Position CFO
Phone (651) 426-3630
Fax
Practice Location
14643 MERCANTILE BLVD
SUITE 112
HUGO MN, 55038, US
Phone (651) 426-3630
Fax
Business Location
14643 MERCANTILE BLVD
SUITE 112
HUGO MN, 55038, US
Phone (651) 426-3630
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2585
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According to our database, Northeast Eye Care Of Hugo NPI is 1437276763, taxonomy code is 152W00000X and license number is 2585, license state is located at Minnesota. Northeast Eye Care Of Hugo physically located at 14643 Mercantile Blvd, Hugo MN, 55038. NPI Number 1033115704 has the healthcare provider type.

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1437276763 NPI number is provided on an as is basis without warranty of any kind. 1437276763 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Eye Care Of Hugo are for informational purposes only.