Individual
DR. CHAD MICHAEL LEGOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
755 53RD AVE NE, FRIDLEY, MN 55421-1240
(763) 571-5452
Mailing address
127 5TH ST NE, UNIT 102, MINNEAPOLIS, MN 55413-4550
(901) 570-0729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LD3025
MN
Other
Enumeration date
08/17/2007
Last updated
02/23/2012
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