Sanford Health of Northern Minnesota

NPI #1265829881 in Fosston, Minnesota

Provider Information

NPI Number: 1265829881
Entity Type: Organization
Organization Name: Sanford Health of Northern Minnesota
Primary Specialty: Optometrist
Enumeration Date: Apr 21, 2015
Last Updated: Jun 30, 2020

Practice Location

Address: 111 2ND ST NE
City: Fosston
State: Minnesota
ZIP Code: 56542-1301
Phone: (218) 435-1010

Authorized Official

Name: TONY LEE MORRISON
Title: VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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