ALEXANDER EARL MOSES

DETROIT LAKES, MN
NPI1063797116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MN  3400)
Additional Taxonomies152W00000X Optometrist
(Licence: ND  727)
Enumeration Date2011-10-19
Last Update Date2015-12-29
Business Address
-- ALEXANDER EARL MOSES
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
Mailing Address
-- ALEXANDER EARL MOSES
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611