Individual
MR. RODNEY L. MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1209 18TH AVE NW, AUSTIN, MN 55912-1881
(507) 437-8228
Mailing address
1201 19TH ST NE, AUSTIN, MN 55912-4115
(507) 433-2257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1743
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126023500
—
MN
Enumeration date
05/17/2006
Last updated
03/31/2014
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