Organization
MINNESOTA EYECARE NETWORK, INC.
Active
Other names
Neitzke Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C NEITZKE OD (PRESIDENT)
(218) 631-1456
Entity
Organization
Contact information
Practice address
315 JEFFERSON ST S, WADENA, MN 56482-1533
(218) 631-1456
(218) 631-3213
Mailing address
315 JEFFERSON ST S, PO BOX 146, WADENA, MN 56482-1533
(218) 631-1456
(218) 631-3213
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MN
Other
Enumeration date
04/23/2007
Last updated
07/21/2022
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