Individual
DR. MICHELLE FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9925 HUDSON PL, WOODBURY, MN 55125
(651) 702-1231
(651) 702-1239
Mailing address
1593 HEADWATERS LN, WOODBURY, MN 55129-6233
(651) 337-0374
(651) 337-0374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2857
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189811043835
PREFERRED ONE
MN
01
—
22 02293
MEDICA
MN
01
—
241185
NVA
MN
01
—
308T4SA
BCBS MN CORP PROVIDER #
MN
01
—
308T5FA
BCBS MN INDIVIDUAL
MN
01
—
36021
AVESIS
MN
05
—
568960100
—
MN
05
—
735559900
—
MN
Enumeration date
09/04/2006
Last updated
07/10/2018
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