Individual
DR. GAYLE DIANE DRAMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1315 HWY 25 SO, BUFFALO, MN 55313
(763) 682-0276
Mailing address
2221 HIGHWAY 25 SE, BUFFALO, MN 55313-5308
(763) 682-0055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2398
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-00523
MEDICA DISPENSE/BUFFALO
MN
01
—
21-12062
MEDICA DISPENSE/EAGAN
MN
01
—
22-02652
MEDICA/BUFFALO
MN
01
—
22-13342
MEDICA/EAGAN
MN
01
—
3C369DR
BLUECROSS
MN
01
—
3C370DR
BLUECROSS INDIVIDUAL #
MN
01
—
828591033166
PREF ONE
MN
Enumeration date
09/06/2006
Last updated
07/08/2007
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