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Individual

DR. JEFFREY DAVID MELICHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5465 MOUNTAIN IRON DR, SUITE 700, VIRGINIA, MN 55792-3372
(218) 741-3000
(218) 741-0800
Mailing address
4369 OLAUGHLIN DR, EVELETH, MN 55734-4029
(218) 744-3288

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2409
MN

Other

Enumeration date
01/29/2007
Last updated
12/18/2011
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