DR. Blake Thomas Dirks, OD

NPI #1629145057 in Saint Peter, Minnesota

Provider Information

NPI Number
1629145057
Entity Type
Individual
Name
DR. Blake Thomas Dirks, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Nov 29, 2006
Last Updated
Feb 14, 2014

Practice Location

Address
320 SUNRISE DR
ZIP Code
56082-1352
Phone
(507) 931-6436

Specialties & Taxonomy Codes

Specialty
Optometrist

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Provider Name
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