| NPI | 1669622031 |
|---|---|
| Doing Business As | AVERA MARSHALL SOUTHWEST OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 338730) |
| 152W00000X Optometrist (Licence: MN 338730) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-12-02 |