| NPI | 1760740567 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP OPTOMETRY MARSHALL |
| Entity Type | Organization |
| Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2022-12-02 |