Individual
PETER LLOYD VATNSDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
306 MAIN AVE N, ROSEAU, MN 56751-1820
(218) 463-2020
Mailing address
104 OAK CREST BLVD, ROSEAU, MN 56751-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3286
MN
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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