John L Bonner Eye Clinic Ltd

NPI #1770626616 in Hibbing, Minnesota

Provider Information

NPI Number: 1770626616
Entity Type: Organization
Organization Name: John L Bonner Eye Clinic Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Feb 14, 2007
Last Updated: Mar 18, 2009

Practice Location

Address: 3605 MAYFAIR AVE
Address 2: STE 2150
City: Hibbing
State: Minnesota
ZIP Code: 55746-2923
Phone: (218) 262-3156

Authorized Official

Name: DR. TIMOTHY C BONNER, MD
Title: PRESIDENT
Phone: (218) 326-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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