Individual
NATHAN LANGEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7415 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1607
(952) 475-3787
(888) 959-0116
Mailing address
7415 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1607
(952) 475-3787
(888) 959-0116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3304
MN
152WS0006X
Sports Vision Optometrist
Primary
3304
MN
152WV0400X
Vision Therapy Optometrist
3304
MN
Other
Enumeration date
10/07/2009
Last updated
08/20/2012
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