Organization
SOUTHWEST OPHTHALMOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE L FRITSCHE M.D. (SOLE PROPRIETOR)
(507) 537-1427
Entity
Organization
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-1427
(507) 537-1742
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-1427
(507) 537-1742
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1009
MN
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822027100
—
MN
Enumeration date
05/19/2006
Last updated
04/02/2008
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