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Individual

REBECCA A HUISKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1715 S BROADWAY ST, NEW ULM, MN 56073-3751
(507) 354-8531
(507) 359-1124
Mailing address
1715 S BROADWAY ST, NEW ULM, MN 56073-3751
(507) 354-8531

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3096
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386843456
MEDICA
MN
01
139787
UCARE
MN
05
467693000
MN
01
6I476CH
BLUE CROSS BLUE SHIELD
MN
01
930521052557
PREFERRED ONE
MN
01
HP84385
HEALTHPARTNERS
MN
Enumeration date
07/17/2007
Last updated
01/05/2010
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