DR. Robert Jack Jackula, OD

NPI #1528066776 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1528066776
Entity Type: Individual
Name: DR. Robert Jack Jackula, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4118 W DIVISION ST
City: Saint Cloud
State: Minnesota
ZIP Code: 56301-3706
Phone: (320) 252-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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