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Individual

DR. ARICA ANN LOGEAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1731 17TH AVE E, SHAKOPEE VISION CLINIC, SHAKOPEE, MN 55379-3372
(952) 445-5600
(952) 445-5629
Mailing address
1275 RAMSEY ST STE 700, SHAKOPEE, MN 55379-3131
(952) 222-3937
(952) 222-2204

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2690
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19F98LO
BCBS
MN
01
2201997
MEDICA
MN
05
798360300
MN
Enumeration date
08/04/2006
Last updated
03/07/2023
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