Individual
DR. SCOTT R TELANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20 LAKE ST N, SUITE 101, FOREST LAKE, MN 55025-2523
(651) 464-4824
(651) 464-0003
Mailing address
20 LAKE ST N, SUITE 101, FOREST LAKE, MN 55025-2523
(651) 464-4824
(651) 464-0003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2990
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807044000
—
MN
Enumeration date
09/14/2006
Last updated
05/16/2012
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