Individual
MICHAEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
206 PLEASANT AVE S, PARK RAPIDS, MN 56470-1417
(218) 732-3389
(218) 732-5994
Mailing address
206 PLEASANT AVE S, PARK RAPIDS, MN 56470-1417
(218) 732-3389
(218) 732-5994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704523900
—
MN
Enumeration date
03/24/2006
Last updated
04/16/2008
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