Individual
TROY E RANDGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2034 FORD PKWY, SAINT PAUL, MN 55116-1931
(651) 698-2744
(651) 698-6918
Mailing address
2034 FORD PKWY, SAINT PAUL, MN 55116-1931
(651) 698-2744
(651) 698-6918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2926
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100864
HP
MN
01
—
148L2RA
BCBS
MN
01
—
22-02130
MEDICA
MN
Enumeration date
12/08/2006
Last updated
03/11/2008
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