Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Eye Center Park Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M CARLSON (CFO)
(701) 234-4811
Entity
Organization
Contact information
Practice address
206 PLEASANT AVE S, PARK RAPIDS, MN 56470-1417
(218) 732-3389
Mailing address
206 PLEASANT AVE S, PARK RAPIDS, MN 56470-1417
(218) 732-3389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
05/31/2007
Last updated
03/10/2011
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