John Mark Cavanagh, O.D. Valid NPI

Individual provider · Optometrist · New Brighton, MN

NPI

1205921368

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

2236 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-04

Last updated

2009-03-18