Individual
JOSEPH JOHN JAMROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
312 ELM AVE, MOOSE LAKE, MN 55767
(218) 485-8495
(218) 485-8498
Mailing address
312 ELM AVE, PO BOX 298, MOOSE LAKE, MN 55767
(218) 485-8495
(218) 485-8498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1621
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01009712
PREFERRED ONE
—
01
—
0497150001
ADMINISTAR
—
01
—
2116007
MEDICA
—
01
—
2210682
MEDICA OPTICAL
—
01
—
76345JA
BCBS
—
Enumeration date
11/27/2006
Last updated
07/08/2007
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