Individual
SUSAN TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1420 BEMIDJI AVE N, BEMIDJI, MN 56601-3814
(218) 759-1430
Mailing address
1420 BEMIDJI AVE N, BEMIDJI, MN 56601-3814
(218) 759-1430
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2148
MN
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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