Individual
SCOTT ALLEN MARTINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 668-5179
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 668-5179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1988DT
KY
152W00000X
Optometrist
Primary
3453
MN
Other
Enumeration date
10/10/2012
Last updated
09/29/2020
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