Individual
GERMAINE E CHESLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
(218) 333-2019
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2300
MN
152WC0802X
Corneal and Contact Management Optometrist
2300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011212
PREFERREDONE
—
01
—
2204340
MEDICA
—
01
—
28642
ND BCBS
ND
05
—
571725600
—
MN
01
—
942G7CH
MN BCBS
MN
01
—
HP57666
HEALTHPARTNERS
—
Enumeration date
01/31/2007
Last updated
02/01/2023
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