DERIN JOHN VAN LOON

DULUTH, MN
NPI1568440675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MN  2650)
Enumeration Date2006-01-09
Last Update Date2018-06-19
Business Address
-- DERIN JOHN VAN LOON OD
213 W 1ST ST
DULUTH, MN 55802-1909
Phone number: 218-727-1004
Mailing Address
-- DERIN JOHN VAN LOON OD
213 W 1ST ST
DULUTH, MN 55802-1985
Phone number: 218-727-1004