Individual
DR. JOSEPH J KISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
512 ATLANTIC AVE, MIDWEST FAMILY EYECARE LTD, MORRIS, MN 56267
(320) 589-1300
(320) 589-3348
Mailing address
706 12TH ST SE, BARNESVILLE, MN 56514-3960
(218) 354-7065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2315
MN
152W00000X
Optometrist
489
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077LAKI
BCBS
MN
01
—
2202002
MEDICA
MN
01
—
2202044
MEDICA
MN
01
—
2202045
MEDICA
MN
01
—
2207651
MEDICA
MN
01
—
283R4K1
BCBS
MN
01
—
283R5K1
BCBS
MN
01
—
36B55KI
BCBS
MN
05
—
990325900
—
MN
Enumeration date
08/30/2006
Last updated
07/08/2007
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