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Individual

DR. FRANK CLARK MUNNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1600 MILLER TRUNK HWY, DULUTH, MN 55811-5640
(218) 725-0204
Mailing address
6632 BERGSTROM RD, DULUTH, MN 55803-9236

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1407-035
WI
152W00000X
Optometrist
Primary
LD1918000
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2288846
MEDICA PROVIDER NUM.
MN
01
26781MU
BC/BS CCS CLINIC NUM.
MN
01
37B31MU
BC/BS CCS PROVIDER NUM.
WI
01
47521DU
BC/BS CCS CLINIC NUM.
WI
01
IG464MU
BC/BS CCS PROVIDER NUM.
MN
Enumeration date
06/16/2005
Last updated
07/21/2022
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