Derin J Van Loon Od PA

NPI #1811975931 in Duluth, Minnesota

Provider Information

NPI Number: 1811975931
Entity Type: Organization
Organization Name: Derin J Van Loon Od PA
Primary Specialty: Optometrist
Enumeration Date: Jan 9, 2006
Last Updated: Jul 7, 2008

Practice Location

Address: 213 W 1ST ST
City: Duluth
State: Minnesota
ZIP Code: 55802-1985
Phone: (218) 727-1004

Authorized Official

Name: DR. DERIN JOHN VAN LOON, OD
Title: OWNER OPTOMETRIST
Phone: (218) 727-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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