Organization
MJH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE LORRAINE NELSON (INSURANCE BILLER)
(651) 457-2020
Entity
Organization
Contact information
Practice address
1903 GREELEY ST S, STILLWATER, MN 55082-6012
(651) 439-4265
(651) 439-8602
Mailing address
1903 GREELEY ST S, STILLWATER, MN 55082-6012
(651) 439-4265
(651) 439-8602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN1944
MN
Other
Enumeration date
03/22/2016
Last updated
02/01/2018
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