DR. Glenn Orville Kallevig, O.D.

NPI #1174688725 in Princeton, Minnesota

Provider Information

NPI Number: 1174688725
Entity Type: Individual
Name: DR. Glenn Orville Kallevig, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 S RUM RIVER DR
City: Princeton
State: Minnesota
ZIP Code: 55371-1815
Phone: (763) 389-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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