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Troy E Randgaard, O.D.

Optometrist in Saint Paul, MN. Individual provider (NPI-1).

NPI number1194884635
StatusActive
Last updated in NPPESMar 11, 2008

Details

NPI
1194884635
Entity type
Individual (NPI-1)
Name
Troy E Randgaard
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 8, 2006
Last updated
Mar 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2926MNYes

Practice location

2034 Ford Pkwy
Saint Paul, MN 55116-1931

Phone 651-698-2744 · Fax 651-698-6918

Mailing address

2034 Ford Pkwy
Saint Paul, MN 55116-1931

Phone 651-698-2744 · Fax 651-698-6918

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