Organization
NORTHERN EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K SMITH (ADMINISTRATOR)
(218) 829-2020
Entity
Organization
Contact information
Practice address
2020 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-2020
Mailing address
2020 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
323
MN
Other
Enumeration date
12/08/2006
Last updated
10/26/2007
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