Individual
DONALD WAYNE CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3001 WHITE BEAR AVE N, SEARS BLDG, MAPLEWOOD, MN 55109-1215
(651) 770-4274
(651) 770-1862
Mailing address
2540 EAGLE VALLEY DR, WOODBURY, MN 55129-4206
(651) 738-2758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1643
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636023800
—
MN
Enumeration date
12/24/2006
Last updated
07/08/2007
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