David Thelen

NPI #1750452090 in Anoka, Minnesota

Provider Information

NPI Number
1750452090
Entity Type
Organization
Organization Name
David Thelen
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Nov 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1920 1ST AVE
City
Anoka
ZIP Code
55303-2437
Phone
(763) 427-4000

Authorized Official

Name
JANE THELEN
Title
OWNER
Phone
(763) 427-4000

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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