| NPI | 1396513370 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP OPTOMETRY - DAWSON |
| Entity Type | Organization |
| Authorized Contact | DEBBIE STREIER President & CEO 507-537-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |