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Organization
MINNESOTA EYECARE NETWORK, INC.
Active
Organization
MINNESOTA EYECARE NETWORK, INC.
Active
Other names
Pelican Rapids Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C NEITZKE OD (PRESIDENT)
(218) 346-3310
Entity
Organization
Contact information
Practice address
20 SOUTH BROADWAY, PELICAN RAPIDS, MN 56572
(218) 863-7061
(218) 863-7062
Mailing address
20 SOUTH BROADWAY, PO BOX 474, PELICAN RAPIDS, MN 56572
(218) 863-7061
(218) 863-7062
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MN
Other
Enumeration date
04/23/2007
Last updated
07/21/2022
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