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Individual

BRETT MATTHEW DEFAUW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
14050 BURNHAVEN DR, BURNSVILLE, MN 55337-4407
(952) 229-6462
Mailing address
50784 BOWER CT, CHESTERFIELD, MI 48047-4626
(586) 246-3823

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3955
MN

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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