THOMAS L DAHLBY OD

SHOPKO STORES OPERATING CO LLC

Dr THOMAS L DAHLBY OD is a male medical professional, specializing in Optometry. He graduated in 1983 from Illinois College Of Optometry At Chicago.

Contact

SHOPKO STORES OPERATING CO LLC

405 COTTONWOOD DR
WINONA
MN
559871914

Tel: 5074526175

THOMAS L DAHLBY OD Information

Npi 1316998404
Pac Id 6204800956
Professional Enrollment Id I20040819001405
Last Name DAHLBY
First Name THOMAS
Middle Name L
Suffix
Gender M
Credential OD
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1983
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SHOPKO STORES OPERATING CO LLC
Group Practice Pac Id 0749292639
Number Of Group Practice Members 124
Line 1 Street Address 405 COTTONWOOD DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WINONA
State MN
Zip Code 559871914
Phone Number 5074526175
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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