Individual
DR. CHARLES WILLIAM PICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2025 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-5606
(218) 755-6139
(218) 755-6141
Mailing address
218 4TH AVE N, CROOKSTON, MN 56716-1314
(218) 281-7983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1530
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205J0WA
BLUE CROSS BLUE SCHIELD
MN
Enumeration date
09/14/2006
Last updated
07/08/2007
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