Organization
FREDERICK J HOCHALTER OD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CRAIG HOCHHALTER O.D. (OWNER)
(651) 439-4265
Entity
Organization
Contact information
Practice address
6303 OSGOOD AVE N, STILLWATER, MN 55082-6101
(651) 439-4265
(651) 439-8602
Mailing address
6303 OSGOOD AVE N, STILLWATER, MN 55082-6101
(651) 439-4265
(651) 439-8602
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2088
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0819960001
PTAN
MN
Enumeration date
10/09/2008
Last updated
09/21/2010
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