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Individual

DR. SHANE RONALD BRAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
25 25TH ST SE, ROCHESTER, MN 55904-5554
(507) 292-1729
(507) 292-1731
Mailing address
5166 SOUTHWOOD LN SW, ROCHESTER, MN 55902-1846
(507) 358-6275
(507) 292-1731

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2675
MN

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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