Individual
DR. ERIC M TJELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1720 HWY 59 SE, SUITE 1 BOX 505, THIEF RIVER FALLS, MN 56701
(218) 681-3300
(218) 681-6733
Mailing address
1720 HWY 59 SE, SUITE 1 BOX 505, THIEF RIVER FALLS, MN 56701
(218) 681-3300
(218) 681-6733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2833
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2282569
MEDICA
—
01
—
289M4TJ
BC
MN
01
—
644201041982
PREF
—
05
—
928102900
—
MN
Enumeration date
07/17/2006
Last updated
04/20/2011
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