Individual
BRYCE D SEALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4455 HIGHWAY 169 N, PLYMOUTH, MN 55442-2897
(763) 559-7358
(763) 559-6010
Mailing address
4455 HIGHWAY 169 N, PLYMOUTH, MN 55442-2897
(763) 559-7358
(763) 559-6010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3797
MN
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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