Individual
DR. JOHN MAX GUTFLEISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1111 2ND ST NE, WASECA, MN 56093
(507) 835-2020
(507) 833-7677
Mailing address
1111 2ND ST NE, PO BOX 464, WASECA, MN 56093
(507) 835-2020
(507) 833-7677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1592
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114346
SOUTH COUNTRY HEALTH ALLI
MN
01
—
22-12339
MEDICA
MN
01
—
37095WA
BCBS OF MINNESOTA
MN
05
—
423223200
—
MN
01
—
83364
MAYO HEALTH PLAN
MN
01
—
988271009766
PREFERRED ONE
MN
01
—
HP29935
HEALTH PARTNERS
MN
Enumeration date
01/03/2007
Last updated
05/14/2008
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