Individual
NICOLE ANN SOLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4455 HIGHWAY 169 N, PLYMOUTH, MN 55442-2897
(763) 559-7358
Mailing address
PO BOX 604, BUFFALO, MN 55313-0604
(218) 340-8411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046011514
IL
152W00000X
Optometrist
Primary
MS8065496
MN
Other
Enumeration date
06/12/2021
Last updated
07/21/2023
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