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Individual

DR. QUY T TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
19576 HOLT ST NW, ELK RIVER, MN 55330
(763) 241-2083
(763) 241-3801
Mailing address
19576 HOLT ST NW, ELK RIVER, MN 55330-1287
(763) 241-2083
(763) 241-3801

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3008
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
872959000
MN
Enumeration date
09/27/2007
Last updated
06/05/2018
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