Jerome D Poland MD Ltd

NPI #1659550820 in Remer, Minnesota

Provider Information

NPI Number: 1659550820
Entity Type: Organization
Organization Name: Jerome D Poland MD Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: JEROME D. POLAND, M.D., LTD.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 24, 2007
Last Updated: Jul 12, 2013

Practice Location

Address: 9 BIRCH STREET
City: Remer
State: Minnesota
ZIP Code: 56672
Phone: (218) 566-2020

Authorized Official

Name: DR. JEROME D POLAND, MD
Title: ADMIN ASST
Phone: (218) 546-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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