Organization
DR PETRONACK & ASSOCIATES OPTOMETRISTS INC
Active
Other names
Fridley Optical & Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PETRONACK (OWNER)
(763) 784-3997
Entity
Organization
Contact information
Practice address
7510 UNIVERSITY AVE NE, FRIDLEY, MN 55432-2614
(763) 784-3997
(763) 208-7958
Mailing address
7510 UNIVERSITY AVE NE, FRIDLEY, MN 55432-2614
(763) 784-3997
(763) 208-7958
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
10/18/2019
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