Organization
SPEDALE OPTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ULRICH (OWNER)
(651) 636-6464
Entity
Organization
Contact information
Practice address
14165 JAMES RD, SUITE 106, ROGERS, MN 55374-9317
(763) 515-6065
Mailing address
14165 JAMES RD, SUITE 106, ROGERS, MN 55374-9317
(763) 515-6065
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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