Jerome D. Poland, M.d., Ltd

NPI #1295914463 in Baxter, Minnesota

Provider Information

NPI Number
1295914463
Entity Type
Organization
Organization Name
Jerome D. Poland, M.d., Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
CROSBY EYE CLINIC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 24, 2007
Last Updated
Jul 12, 2013

Practice Location

Address
7636 DESIGN RD STE 105
City
Baxter
ZIP Code
56425-8678
Phone
(218) 825-1976

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Optometrist
Eyewear Supplier

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