Individual
JEANETTE LAROSE STEFFL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8325 SEASONS PKWY, WOODBURY, MN 55125-3477
(651) 702-5868
(651) 702-5870
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3343-35
WI
152W00000X
Optometrist
Primary
3389
MN
Other
Enumeration date
10/19/2011
Last updated
04/27/2021
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