Organization
GREAT NORTHERN OPTICIANS
Active
Organization
GREAT NORTHERN OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L VIRNIG (OPTICIAN)
(218) 829-1335
Entity
Organization
Contact information
Practice address
2020 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-1335
(218) 829-2303
Mailing address
2020 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-1335
(218) 829-2303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5794287
MN
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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