Organization
RUSSELL N OSNES OD & ASSOCIATES PA
Active
Parent organization
RUSSELL N OSNES OD AND ASSOCIATES PA
Other names
Cannon Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL N OSNES OD AND ASSOCIATES PA
Authorized official
RUSSELL NATHANIEL OSNES OD (PRESIDENT/OWNER)
(651) 452-0344
Entity
Organization
Contact information
Practice address
1340 DUCKWOOD DR STE 14, EAGAN, MN 55123-2324
(651) 452-0344
(651) 452-1564
Mailing address
1340 DUCKWOOD DR STE 14, EAGAN, MN 55123-2324
(651) 452-0344
(651) 452-1564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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