John Bockhaus, O. D.

NPI #1841326584 in Blaine, Minnesota

Provider Information

NPI Number: 1841326584
Entity Type: Individual
Name: John Bockhaus, O. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O. D.
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1510 125TH AVE NE
City: Blaine
State: Minnesota
ZIP Code: 55449-4749
Phone: (763) 755-9380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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