Individual
DR. CHRISTOPHER J CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
217 3RD STREET NW, ORTONVILLE, MN 56278
(320) 839-2608
(320) 839-2601
Mailing address
217 3RD STREET, NW, ORTONVILLE, MN 56278
(320) 839-2608
(320) 839-2601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2679
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377725100
—
MN
01
—
410037854
RAILROAD MEDICARE
MN
05
—
9203082
—
SD
Enumeration date
11/10/2005
Last updated
02/02/2017
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