Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Health Baudette Eye Center, Sanford Health Baudette Eye Center & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
103 MAIN ST, SUITE B, BAUDETTE, MN 56623-2475
(218) 634-1202
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/02/2020
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