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Individual

DR. AMY C ONKEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
801 W CENTRAL ENTRANCE, DULUTH, MN 55811-5468
(218) 727-7163
(218) 727-6240
Mailing address
801 W CENTRAL ENTRANCE, DULUTH, MN 55811-5468
(218) 727-7163
(218) 727-6240

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2796
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37503880
MN
Enumeration date
05/15/2006
Last updated
07/08/2007
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