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Individual

DR. THOMAS SCOTT KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3015 HW 29 SOUTH, SUITE 4010 MIDWEST VISION CENTER, ALEXANDRIA, MN 56308
(320) 762-8104
(320) 762-1147
Mailing address
3015 HW 29 SOUTH, SUITE 4010 MIDWEST VISION CENTER, ALEXANDRIA, MN 56308
(320) 762-8104
(320) 762-1147

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1629
WI
152W00000X
Optometrist
Primary
1702
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2202054
MEDICA
MN
01
283R3KE
BCBS
MN
05
6844823100
MN
Enumeration date
08/30/2006
Last updated
07/08/2007
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