Organization
BREENA DELL CLAYTON, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREENA DELL CLAYTON O.D. (O.D.)
(218) 855-5756
Entity
Organization
Contact information
Practice address
13650 ELDER DR, BAXTER, MN 56425-8818
(218) 855-5756
(218) 855-5753
Mailing address
13650 ELDER DR, BAXTER, MN 56425-8818
(218) 855-5756
(218) 855-5753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3328
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235464314
NPI
MN
Enumeration date
02/13/2014
Last updated
02/13/2014
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