Organization
JOHN L BONNER EYE CLINIC LTD
Active
Other names
BONNER EYE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C BONNER MD (PRESIDENT)
(218) 326-3433
Entity
Organization
Contact information
Practice address
3605 MAYFAIR AVE, STE 2150, HIBBING, MN 55746-2923
(218) 262-3156
(218) 262-1456
Mailing address
1542 GOLF COURSE RD, STE 201, GRAND RAPIDS, MN 55744-9603
(218) 326-3433
(218) 326-3435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
432
MN
207W00000X
Ophthalmology Physician
Primary
432
MN
Other
Enumeration date
02/14/2007
Last updated
03/18/2009
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