Individual
DR. COREY H TABBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
222 SE FIRST STREET, WADENA, MN 56482
(218) 631-2020
(218) 631-1892
Mailing address
222 1ST ST SE, WADENA, MN 56482-1567
(218) 631-2020
(218) 631-1892
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2883
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032301
PREFERREDONE
MN
01
—
22-02149
MEDICA
MN
01
—
365T9TA
BLUE PLUS
MN
05
—
410002031
—
MN
01
—
999995765
VSP
MN
01
—
HP36359
HEALTHPARTNERS
MN
01
—
MN2883
EYEMED
MN
Enumeration date
03/09/2006
Last updated
04/30/2008
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