Fourone2020 Pllc
NPI #1538646930 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1538646930
- Entity Type
- Organization
- Organization Name
- Fourone2020 Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 27, 2018
- Last Updated
- Oct 24, 2018
Practice Location
- Address
- 1750 ROBERT ST S
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3919
- Phone
- (651) 306-0412
Authorized Official
- Name
- GREG B MARKESON, OD
- Title
- OWNER/OPTOMETRIST
- Phone
- (612) 812-4691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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