Individual
RONALD HUEBSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
523 1ST ST, PRINCETON, MN 55371-1603
(763) 389-3150
(763) 389-0664
Mailing address
523 1ST ST, PRINCETON, MN 55371-1603
(763) 389-3150
(763) 389-0664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115240
U-CARE
MN
01
—
2115731
MEDICA MATERIALS
MN
01
—
2202702
MEDICA HEALTH CARE PLAN
MN
01
—
4676
HEALTH PARTNERS
—
01
—
52393HU
BLUE CROSS/BLUE SHIELD
—
05
—
584823700
—
MN
01
—
5C026HU
BC/BS (MATERIALS)
—
01
—
960380688001
PREFERRED ONE
—
Enumeration date
10/31/2005
Last updated
05/16/2012
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