Thomas J Koll, OD

NPI #1124123567 in Red Wing, Minnesota

Provider Information

NPI Number: 1124123567
Entity Type: Individual
Name: Thomas J Koll, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 418 WEST 3RD ST
City: Red Wing
State: Minnesota
ZIP Code: 55065
Phone: (651) 388-0738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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