DR. Benjamin Stout, OD

NPI #1265437792 in Eagan, Minnesota

Provider Information

NPI Number
1265437792
Entity Type
Individual
Name
DR. Benjamin Stout, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 21, 2005
Last Updated
May 19, 2011

Practice Location

Address
3930 CEDAR GROVE PKWY
City
Eagan
ZIP Code
55122-1403
Phone
(651) 454-5661

Specialties & Taxonomy Codes

Specialty
Optometrist

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