Individual
DR. JULIE M BLENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
261 RUTH ST N STE E, SAINT PAUL, MN 55119-4337
(651) 739-5173
(651) 739-8907
Mailing address
7244 CRANE DR, LINO LAKES, MN 55038-4701
(763) 292-0101
(651) 788-9695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2573
MN
152W00000X
Optometrist
2652-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38619800
—
WI
Enumeration date
05/24/2006
Last updated
03/25/2023
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