Individual
DR. ALAN H. DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7204 MINNETONKA BLVD, ST LOUIS PARK, MN 55426-3210
(952) 928-7005
(952) 928-4910
Mailing address
14219 MOUNT TER, MINNETONKA, MN 55345-3828
(952) 935-3910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1864
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005510605
AETNA
—
01
—
22-01007
MEDICA
—
01
—
22-15201
MEDICA
—
01
—
26847DI
BCBSMN
—
01
—
637861016604
PREFERREDONE
—
01
—
HP23334
HEALTHPARTNERS
—
Enumeration date
01/14/2007
Last updated
07/08/2007
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