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1033133517
TIMOTHY CHARLES NEITZKE
PERHAM, MN
NPI
1033133517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2262)
Enumeration Date
2006-07-27
Last Update Date
2010-07-14
Business Address
Dr. TIMOTHY CHARLES NEITZKE OD
340 FOX ST
PERHAM, MN 56573
Phone number: 218-346-3310
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Mailing Address
Dr. TIMOTHY CHARLES NEITZKE OD
38004 N LITTLE MCDONALD DR
FRAZEE, MN 56544-8931
Phone number: 218-346-5443
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