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Individual

DR. ASHLEY WALKOVIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
21615 S DIAMOND LAKE RD, ROGERS, MN 55374-8893
(763) 428-9014
Mailing address
21615 S DIAMOND LAKE RD, ROGERS, MN 55374-8893
(763) 428-9014

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3441
MN
390200000X
Student in an Organized Health Care Education/Training Program
MN

Other

Enumeration date
05/20/2015
Last updated
06/10/2015
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