Avera Marshall

NPI #1508177890 in Mountain Lake, Minnesota

Provider Information

NPI Number: 1508177890
Entity Type: Organization
Organization Name: Avera Marshall
Primary Specialty: Optometrist
Enumeration Date: Jul 1, 2010
Last Updated: Dec 2, 2022

Practice Location

Address: 1040 3RD AVE
City: Mountain Lake
State: Minnesota
ZIP Code: 56159-1587
Phone: (507) 427-2345

Authorized Official

Name: DEBBIE STREIER
Title: CEO
Phone: (507) 537-9160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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Ann M Hickson, O.D., M.S.	Optometrist	Woodbury	AI Deep Dive
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