Jerome D. Poland MD Ltd

NPI #1780635664 in Crosby, Minnesota

Provider Information

NPI Number: 1780635664
Entity Type: Organization
Organization Name: Jerome D. Poland MD Ltd
Primary Specialty: Eyewear Supplier
Enumeration Date: May 15, 2006
Last Updated: Jun 30, 2014

Practice Location

Address: 1 3RD AVE NE
City: Crosby
State: Minnesota
ZIP Code: 56441-1665
Phone: (218) 546-5108

Authorized Official

Name: DR. JEROME D. POLAND, M.D.
Title: PRESIDENT
Phone: (218) 546-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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