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Organization
JEROME D POLAND MD LTD
Active
Organization
JEROME D POLAND MD LTD
Active
Parent organization
JEROME D. POLAND, M.D., LTD.
Other names
Crosby Eye Clinic/Remer
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEROME D. POLAND, M.D., LTD.
Authorized official
DR. JEROME D POLAND MD (ADMIN ASST)
(218) 546-5108
Entity
Organization
Contact information
Practice address
9 BIRCH STREET, REMER, MN 56672
(218) 566-2020
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
2807770003
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261527400
—
MN
01
—
566R0CR
BLUE PLUS DISP
MN
01
—
85038PO
BLUE CROSS/BLUE SHIELD MN
MN
01
—
CG9827
PALMETTO GBA
MN
Enumeration date
10/24/2007
Last updated
07/12/2013
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