Individual
MAX PATRICK HERGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
410 CHURCH ST SE, BOYNTON HEALTH SERVICE, MINNEAPOLIS, MN 55455-0340
(612) 624-2134
(612) 677-3321
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2816
MN
Other
Enumeration date
11/12/2006
Last updated
06/11/2024
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