Individual
DR. CHRISTOPHER BAKOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6500 PENN AVE S, RICHFIELD, MN 55423-1143
(612) 798-1720
Mailing address
6500 PENN AVE S, RICHFIELD, MN 55423-1143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3212
MN
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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