Individual
DR. KRISTI JO BACKER PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2519
MN
152W00000X
Optometrist
2569
CO
152W00000X
Optometrist
3155T
OR
Other
Enumeration date
04/13/2007
Last updated
03/11/2021
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