Individual
MS. KOMAL KAUR MADAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC., O.D.
Contact information
Practice address
317 GROVELAND AVE, APT 611, MINNEAPOLIS, MN 55403-3567
(503) 789-4221
Mailing address
317 GROVELAND AVE, APT 611, MINNEAPOLIS, MN 55403-3567
(503) 789-4221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3065
MN
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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