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Jon C Kolstad, OD PC

Optometrist in Glasgow, MT. Individual provider (NPI-1).

NPI number1679620587
StatusActive
Last updated in NPPESApr 15, 2014

Details

NPI
1679620587
Entity type
Individual (NPI-1)
Name
Jon C Kolstad
Credential
OD PC
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2007
Last updated
Apr 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist616MTYes

Practice location

630 3rd Ave S
Glasgow, MT 59230-2407

Phone 406-228-8641 · Fax 406-228-2094

Mailing address

630 3rd Ave S
Glasgow, MT 59230-2407

Phone 406-228-8641 · Fax 406-228-2094

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