Individual
DR. JERALD L. MONSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
127 W VINE ST, OWATONNA, MN 55060-2320
(507) 451-5300
(507) 451-5840
Mailing address
127 W VINE ST, OWATONNA, MN 55060-2320
(507) 451-5300
(507) 451-5840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LD1955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114347
SOUTH COUNTRY HEALTH ALLI
MN
01
—
30554MO
BCBS OWATONNA
MN
01
—
30555MO
BCBS WASECA
MN
Enumeration date
02/13/2006
Last updated
02/11/2008
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