Individual
DR. JUSTIN BOHNSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 CENTRAL AVE W STE 104, SAINT MICHAEL, MN 55376-4590
(375) 476-3497
Mailing address
1 CENTRAL AVE W STE 104, SAINT MICHAEL, MN 55376-4590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3943
MN
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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