Individual
DR. KIMBERLY ANN MOLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
132 2ND AVE SW, MILACA, MN 56353
(320) 983-3434
(320) 983-6280
Mailing address
PO BOX 218, MILACA, MN 56353
(320) 983-3434
(320) 983-6280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2748
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236325900
—
MN
Enumeration date
07/17/2006
Last updated
06/15/2012
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