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Organization

GRANITE FALLS EYECARE INC.

Active
Other names
GRANITE FAMILY EYECARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD EDWARD TRUDEL O.D. (OWNER)
(320) 564-4997
Entity
Organization

Contact information

Practice address
870 PRENTICE ST, GRANITE FALLS, MN 56241-1521
(320) 564-4997
(320) 564-2020
Mailing address
870 PRENTICE ST, P.O. BOX 127, GRANITE FALLS, MN 56241-1521
(320) 564-4997
(320) 564-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2337
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
645512300
MN
Enumeration date
01/22/2007
Last updated
04/08/2008
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