Organization
MOLACEK FAMILY EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN MOLACEK OD (OWNER)
(320) 983-3434
Entity
Organization
Contact information
Practice address
132 2ND AVE SW, MILACA, MN 56353-1106
(320) 983-3434
(320) 983-6280
Mailing address
PO BOX 218, MILACA, MN 56353-0218
(320) 983-3434
(320) 983-6280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160138500
—
MN
Enumeration date
08/31/2005
Last updated
06/15/2012
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