Individual
DR. GORDON EUGENE DRAMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
380 33RD AVE S, SAINT CLOUD, MN 56301-3716
(320) 259-5880
(320) 259-6084
Mailing address
2221 HIGHWAY 25 SE, BUFFALO, MN 55313-5308
(763) 682-0055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2399
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-01741
MEDICA / EAGAN
MN
01
—
22-01742
MEDICA / ST CLOUD
MN
01
—
22-01743
MEDICA / BAXTER
MN
01
—
395751014996
PREFERRED ONE
MN
01
—
497SODR
BCBS
MN
01
—
6C285DB
BCBS/ BAXTER
MN
01
—
P00024753
RAILROAD
MN
Enumeration date
08/31/2006
Last updated
07/08/2007
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