Individual
JOHN G HASBROUCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1545 NORTHWAY DR, SUITE 120, SAINT CLOUD, MN 56303-1940
(320) 253-2441
(320) 253-2446
Mailing address
1545 NORTHWAY DR, SUITE 120, SAINT CLOUD, MN 56303-1940
(320) 253-2441
(320) 253-2446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1776
MN
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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