Organization
ADVANCED EYECARE OF MINNESOTA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY GUNNARSON (MANAGER/OWNER)
(218) 639-0343
Entity
Organization
Contact information
Practice address
2210 HIGHWAY 29 S, ALEXANDRIA, MN 56308-3487
(218) 639-0343
(218) 824-0020
Mailing address
203 HAWKINS DR, BRAINERD, MN 56401-3916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN1980
MN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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