Organization
RYAN L. ISAACSON, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ISAACSON OD (OWNER / OPTOMETRIST)
(906) 458-7063
Entity
Organization
Contact information
Practice address
1502 WOODLANE DR, WOODBURY, MN 55125-2221
(651) 735-9550
(651) 735-9322
Mailing address
1502 WOODLANE DR, WOODBURY, MN 55125-2221
(651) 735-9550
(651) 735-9322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
03/05/2020
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