Ka Bloomquist Rg Bakewell Od PA
NPI #1093891624 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1093891624
- Entity Type
- Organization
- Organization Name
- Ka Bloomquist Rg Bakewell Od PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Sep 12, 2011
Practice Location
- Address
- 120 12TH AVE E
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308
- Phone
- (320) 763-4321
Authorized Official
- Name
- DR. JOHN D HOVEN, OD
- Title
- PRESIDENT
- Phone
- (320) 763-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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