| NPI | 1760511398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID ACKERMANN Optometrist Owner 651-345-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2672) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-04-23 |