CHAD MICHAEL LEGOIS

KRYSTAL L. LONG, OD, PC

Dr CHAD MICHAEL LEGOIS is a male medical professional, specializing in Optometry. He graduated in 2005 from Southern College Of Optometry.

Contact

KRYSTAL L. LONG, OD, PC

900 NICOLLET MALL
MINNEAPOLIS
MN
554032530

Tel: 6123387551

CHAD MICHAEL LEGOIS Information

Npi 1578755088
Pac Id 2769643626
Professional Enrollment Id I20120419000737
Last Name LEGOIS
First Name CHAD
Middle Name MICHAEL
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2005
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name KRYSTAL L. LONG, OD, PC
Group Practice Pac Id 0446470215
Number Of Group Practice Members 2
Line 1 Street Address 900 NICOLLET MALL
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MINNEAPOLIS
State MN
Zip Code 554032530
Phone Number 6123387551
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
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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