NPI 1063486124

Craig D Dejong, OD

Practitioner Optometrist Glenwood, MN

Practice location

Address: 24 1st St SE Glacial Ridge Eye Clinic, INC, Glenwood, MN 56334-1619
Phone: (320) 634-4516
Fax: (320) 634-4520

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2027 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1063486124
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2006
Record last updated: 6 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.