Most Relevant Information
Provider Data
| NPI Number: | 1003507997 |
| Provider Name: | CARLEE JO NESTRUD OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 3863 |
Most Important Dates
| Enumeration Date: | 05/19/2023 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
1101 1ST ST NE
NEW PRAGUE
MN
560712197
Practice Location Phone/Fax
| Phone: | 9527582080 |
| Fax: |
Provider Mailing Location
4890 GERSHWIN AVE N
OAKDALE
MN
551281911
Provider Mailing Phone/Fax
| Phone: | 6513234927 |
| Fax: |