Organization
WASECA OPTOMETRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MAX GUTFLEISCH OD (OWNER)
(507) 835-2020
Entity
Organization
Contact information
Practice address
1111 2ND ST NE, WASECA, MN 56093-2416
(507) 835-2020
(507) 833-7677
Mailing address
1111 2ND ST NE, PO BOX 464, WASECA, MN 56093-2416
(507) 835-2020
(507) 833-7677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1592
MN
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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