S Sjoberg Plc

NPI #1477961019 in Baxter, Minnesota

Provider Information

NPI Number: 1477961019
Entity Type: Organization
Organization Name: S Sjoberg Plc
Subpart: Yes (part of a larger organization)
Parent Organization: S SJOBERG PCL
Primary Specialty: Ophthalmology
Enumeration Date: Jul 28, 2014
Last Updated: Mar 16, 2015

Practice Location

Address: 7636 DESIGN RD
Address 2: SUITE 105
City: Baxter
State: Minnesota
ZIP Code: 56425-8677
Phone: (218) 825-1976

Authorized Official

Name: DR. STACY ANN SJOBERG, MD PHD
Title: SOLE PROPRIETOR
Phone: (218) 546-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Ophthalmology	207W00000X	Primary

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