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Organization

JERALD L MONSON JR OD

Active
Other names
Monson Eyecare Center
Organization subpart
No

Provider details

NPI number
Authorized official
JERALD L MONSON JR. (OWNER)
(507) 835-4558
Entity
Organization

Contact information

Practice address
1270 STATE ST N, WASECA, MN 56093-2706
(507) 835-4558
(507) 835-4558
Mailing address
1270 STATE ST N, WASECA, MN 56093-2706
(507) 835-4558
(507) 835-4558

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114345
SCHA
MN
01
37039MO
BCBS WASECA
MN
05
630070700
MN
Enumeration date
12/04/2006
Last updated
08/04/2010
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