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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY LEE MACKNER, OD

Active

DR. JEFFREY LEE MACKNER, OD is a Optometrist healthcare provider located in PELICAN RAPIDS, Minnesota. NPI 1598789893 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PELICAN RAPIDS, MN

Registration Details

NPI Number
1598789893
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.027731275977 yrs)
Last Updated
Jan 11, 2008
License
2365 (MN)

Practice Information

Address
20 SOUTH BROADWAY
PELICAN RAPIDS, MN, 56572
Browse MN providers · Browse ZIP 56572
Phone
2188637061
Fax
2188637062
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.