NPI | 1477624971 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY JAMES SCHLAUDERAFF Owner Optometrist 218-326-0358 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2415) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-11-25 |