| NPI | 1396814539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MARY GUGGENBERGER Office Manager 320-253-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2909) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 1776) |
| 152W00000X Optometrist (Licence: MN 2751) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |