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Individual

ROGER L PARLANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2411
MN
152W00000X
Optometrist
2512035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38604200
WI
Enumeration date
04/04/2007
Last updated
03/10/2021
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