Individual
ANNE POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2080 WOODWINDS DR STE 230, WOODBURY, MN 55125-2539
(651) 578-6949
Mailing address
2080 WOODWINDS DR STE 230, WOODBURY, MN 55125-2539
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69784
MN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
69784
MN
Other
Enumeration date
04/12/2016
Last updated
11/05/2021
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