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Individual

DR. JAMES ROBERT GUTFLEISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
710 DIVISION ST-SOUTH, SUITE A, NORTHFIELD, MN 55057-2468
(507) 645-2261
(507) 786-9703
Mailing address
710 DIVISION ST S, STE A, NORTHFIELD, MN 55057-2468
(507) 645-2261
(507) 786-9703

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LD1848000
MN
152WC0802X
Corneal and Contact Management Optometrist
LD1848000
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106257
U CARE, MN
MN
01
177K2GU
BLUE CROSS BLUE SHIELD MN
MN
01
526004
AMERICA'S PPO
MN
05
6463231-00
MN
Enumeration date
06/27/2005
Last updated
07/26/2010
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