MR. Craig D Dejong, O.D.

NPI #1063486124 in Glenwood, Minnesota

Provider Information

NPI Number: 1063486124
Entity Type: Individual
Name: MR. Craig D Dejong, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 15, 2006
Last Updated: Sep 6, 2007

Practice Location

Address: 24 1ST ST SE
Address 2: GLACIAL RIDGE EYE CLINIC, INC
City: Glenwood
State: Minnesota
ZIP Code: 56334-1619
Phone: (320) 634-4516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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