NPI | 1033107230 |
---|---|
Doing Business As | NORTHWEST EYE CENTER |
Entity Type | Organization |
Authorized Contact | BRADLEY WAYNE NEUJAHR CEO Owner 218-435-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1892) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2008-10-28 |