Individual
DR. KENNETH H RISTAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1200 SUSAN DR, MARSHALL, MN 56258-2580
(507) 537-9652
(507) 537-9646
Mailing address
1200 SUSAN DR, MARSHALL, MN 56258-2580
(507) 537-9652
(507) 537-9646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2643
MN
Other
Enumeration date
05/14/2006
Last updated
07/08/2007
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