| NPI | 1770626616 |
|---|---|
| Doing Business As | BONNER EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C BONNER President 218-326-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 432) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 432) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-03-18 |