Organization
FOURONE2020 PLLC
Active
Other names
DBA Greg B Markeson OD
Organization subpart
No
Provider details
NPI number
Authorized official
GREG B MARKESON OD (OWNER/OPTOMETRIST)
(612) 812-4691
Entity
Organization
Contact information
Practice address
1750 ROBERT ST S, WEST ST PAUL, MN 55118-3919
(651) 306-0412
(651) 306-0414
Mailing address
11146 SWEETWATER PATH, WOODBURY, MN 55129-5293
(612) 812-4691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2557
MN
Other
Enumeration date
07/27/2018
Last updated
10/24/2018
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