ROY WILLIAM BACKUS

FOREST LAKE, MN
NPI1003922030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MN  2520)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
DR. ROY WILLIAM BACKUS O.D.
200 12TH ST SW
FOREST LAKE, MN 55025-1482
Phone number: 651-464-9767
Mailing Address
DR. ROY WILLIAM BACKUS O.D.
38050 JEFFERY AVE
NORTH BRANCH, MN 55056-5908
Phone number: 651-237-0330