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Organization

DON SEALOCK, O.D., P.A.

Active
Parent organization
DON SEALOCK, O.D., P.A.
Other names
Eyecare Center of St. Michael
Organization subpart
Yes

Provider details

NPI number
Legal business name
DON SEALOCK, O.D., P.A.
Authorized official
JENNIE J SEALOCK (SECR/TREAS)
(763) 551-0529
Entity
Organization

Contact information

Practice address
400 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9525
(763) 497-2020
(763) 497-3220
Mailing address
400 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9525
(763) 497-2020
(763) 497-3220

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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