Individual
DR. JAKE DAVID RANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
144 TYLER RD N STE B, RED WING, MN 55066-1889
(651) 388-3838
(651) 388-6838
Mailing address
144 TYLER RD N STE B, RED WING, MN 55066-1889
(651) 388-3838
(651) 388-6838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MN3751
STATE LICENSE
MN
Enumeration date
10/02/2021
Last updated
10/02/2021
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