Jesse Fenstermacher, OD

NPI #1194339481 in Staples, Minnesota

Provider Information

NPI Number: 1194339481
Entity Type: Individual
Name: Jesse Fenstermacher, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 3, 2020
Last Updated: Sep 3, 2020

Practice Location

Address: 922 US 10 E
City: Staples
State: Minnesota
ZIP Code: 56479-2371
Phone: (218) 894-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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