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Organization

AVERA MARSHALL

Active
Other names
Avera Medical Group Optometry Windom
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE STREIER (CEO)
(507) 537-9160
Entity
Organization

Contact information

Practice address
1006 4TH AVE, WINDOM, MN 56101-1440
(507) 831-2429
Mailing address
1006 4TH AVE, WINDOM, MN 56101-1440
(507) 831-2429

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN
207W00000X
Ophthalmology Physician
MN
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
07/01/2010
Last updated
12/01/2022
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