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Organization
MATHISEN OPTOMETRY,LLC
Active
Organization
MATHISEN OPTOMETRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ROBIN MATHISEN (OPTOMETRIST)
(763) 229-2235
Entity
Organization
Contact information
Practice address
5549 35TH ST NE, BUFFALO, MN 55313-3716
(873) 229-2235
Mailing address
5549 35TH ST NE, BUFFALO, MN 55313-3716
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
223T
WY
Other
Enumeration date
07/21/2009
Last updated
08/05/2009
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