Avera Marshall
Avera Marshall is an Optometrist in Mountain Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.
- Licensed in
- MN
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
1040 3rd AveMountain Lake, MN 56159-1587
Phone: (507) 427-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X (MN) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1508177890 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbie Streier — Ceo · (507) 537-9160 |
| Other names | Avera Medical Group Optometry Mountain Lake; Avera Medical Group Optometry Mountain Lake |
| NPI enumerated | July 1, 2010 |
| Last updated in NPPES | December 2, 2022 |
| Certification date | December 2, 2022 |
| Mailing address | 1040 3rd Ave, Mountain Lake, MN 56159-1587 |