Individual
ROBERT A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
506 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 751-2020
Mailing address
506 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1534
MN
152WC0802X
Corneal and Contact Management Optometrist
1534
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830723700
—
MN
Enumeration date
01/31/2007
Last updated
01/18/2012
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