Individual
MR. DONALD L QUADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2106 LONDON RD, DULUTH, MN 55812-2127
(218) 522-4645
(218) 481-7811
Mailing address
2106 LONDON RD, DULUTH, MN 55812-2127
(218) 522-4645
(218) 481-7811
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NA
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477512697
—
MN
Enumeration date
07/06/2017
Last updated
07/21/2022
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