Individual
DR. DARWIN DALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 NW 4TH ST, GRAND RAPIDS, MN 55744-2753
(218) 326-9619
(218) 326-9619
Mailing address
201 NW 4TH ST, GRAND RAPIDS, MN 55744-2753
(218) 326-9619
(218) 326-9619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C957DA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/05/2005
Last updated
04/03/2008
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