Jerome D. Poland, M.d., Ltd

NPI #1285813451 in Onamia, Minnesota

Provider Information

NPI Number: 1285813451
Entity Type: Organization
Organization Name: Jerome D. Poland, M.d., Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: JEROME D. POLAND, M.D., LTD
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 24, 2007
Last Updated: Jul 12, 2013

Practice Location

Address: 43500 MIGIZI DR
City: Onamia
State: Minnesota
ZIP Code: 56359-2241
Phone: (320) 532-4163

Authorized Official

Name: DR. JEROME D POLAND, MD
Title: MEDICAL DIRECTOR
Phone: (218) 546-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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