Individual
JOSEPH BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1001 HIGHWAY 15 S, FAIRMONT, MN 56031-4456
(507) 238-9490
(507) 238-9038
Mailing address
20 GOLDFINCH CT, NORTH MANKATO, MN 56003-2311
(507) 420-6603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1829
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437023600
—
MN
Enumeration date
12/20/2006
Last updated
05/10/2017
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