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Organization
JEROME D. POLAND MD LTD
Active
Organization
JEROME D. POLAND MD LTD
Active
Other names
dba Crosby Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME D. POLAND M.D. (PRESIDENT)
(218) 546-5108
Entity
Organization
Contact information
Practice address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2807770001
MN
Other
Enumeration date
05/15/2006
Last updated
06/30/2014
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