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Individual

LARRY JAMES SCHLAUDERAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
202 NW 1ST AVE, GRAND RAPIDS, MN 55744-2703
(218) 326-0358
(218) 326-0566
Mailing address
202 NW 1ST AVE, GRAND RAPIDS, MN 55744-2703
(218) 326-0358
(218) 326-0566

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2415
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1008835
COPORATE BENEFIT SERV
01
2200897
MEDICA GR
01
3C837EY
BLUE SHIELD
01
3C838SC
BLUE SHIELD
01
4C427EY
MINN CARE BLUE PLUS
05
611825900
MN
01
974251008835
PREFERRED ONE
01
HP29720
HEALTH PARTNERS
01
U33589
FIRST PLAN BLE
Enumeration date
09/07/2007
Last updated
05/22/2008
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