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Individual

DR. TODD E TRUDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
870 PRENTICE ST, GRANITE FALLS, MN 56241-1521
(320) 564-4997
(320) 564-2020
Mailing address
870 PRENTICE ST, 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
790825300
MN
Enumeration date
05/22/2006
Last updated
04/14/2008
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