Organization
DR. SHIROLA & ASSOCIATES, OPTOMETRISTS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SHIROLA O.D. (PRESIDENT)
(763) 422-9209
Entity
Organization
Contact information
Practice address
950 11TH ST SW, PINE CITY, MN 55063-2113
(320) 629-7465
Mailing address
11673 PONDVIEW CT, CHAMPLIN, MN 55316-2629
(763) 422-9209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2160
MN
Other
Enumeration date
02/07/2012
Last updated
02/22/2012
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