David Thelen

NPI #1407927734 in Watertown, Minnesota

Provider Information

NPI Number
1407927734
Entity Type
Organization
Organization Name
David Thelen
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Nov 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
204 LEWIS AVE S
Address 2
SUITE 102
ZIP Code
55388-4500
Phone
(952) 955-3553

Authorized Official

Name
JANE THELEN
Title
OWNER
Phone
(763) 295-4044

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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