| NPI | 1295914463 |
|---|---|
| Doing Business As | CROSBY EYE CLINIC/BAXTER |
| Entity Type | Organization |
| Authorized Contact | JEROME D POLAND Medical Director 218-546-5108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 2807770002) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2013-07-12 |