DR. Chad M. Krietlow, O.D.

NPI #1295849917 in Blaine, Minnesota

Provider Information

NPI Number: 1295849917
Entity Type: Individual
Name: DR. Chad M. Krietlow, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 19, 2006
Last Updated: Jun 21, 2010

Practice Location

Address: 260 NORTHTOWN DR NE
City: Blaine
State: Minnesota
ZIP Code: 55434-1037
Phone: (763) 784-9049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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