Organization
GLACIAL RIDGE HOSPITAL DISTRICT
Active
Other names
Glenwood Family Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK A STENSRUD (ADMINISTRATOR/CEO)
(320) 634-2208
Entity
Organization
Contact information
Practice address
16 WEST MINNESOTA AVENUE, SUITE 102, GLENWOOD, MN 56334
(320) 334-3264
(320) 334-3256
Mailing address
16 WEST MINNESOTA AVENUE, SUITE 102, GLENWOOD, MN 56334
(320) 334-3264
(320) 334-3256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2417
MN
Other
Enumeration date
03/02/2016
Last updated
06/13/2016
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