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Individual

DR. JONAH MITCHELL RESNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
17690 KENWOOD TRL, LAKEVILLE, MN 55044-9764
(952) 898-9588
Mailing address
12500 MARION LN W APT 4125, HOPKINS, MN 55305-1327
(952) 200-6121

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3785
MN

Other

Enumeration date
05/26/2022
Last updated
07/07/2022
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