Minnesota Eyecare Network, Inc.

NPI #1932327202 in Wadena, Minnesota

Provider Information

NPI Number: 1932327202
Entity Type: Organization
Organization Name: Minnesota Eyecare Network, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 23, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 315 JEFFERSON ST S
City: Wadena
State: Minnesota
ZIP Code: 56482-1533
Phone: (218) 631-1456

Authorized Official

Name: DR. TIMOTHY C NEITZKE, OD
Title: PRESIDENT
Phone: (218) 631-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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