Organization
EYE CLINIC NORTH, PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOHN SIPOLA O.D. (OWNER)
(218) 741-5886
Entity
Organization
Contact information
Practice address
2016 1ST AVE, HIBBING, MN 55746-1728
(218) 263-3633
(218) 263-3634
Mailing address
413 CHESTNUT ST, VIRGINIA, MN 55792-2525
(218) 741-5886
(218) 741-5894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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