Individual
DR. LOREN JOHN BALDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3630 11TH AVE NW, ROCHESTER, MN 55901-4276
(507) 288-2457
Mailing address
3630 11TH AVE NW, ROCHESTER, MN 55901-4276
(507) 288-2457
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3374
MN
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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