Individual
DR. SANDRA K DOLPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
213 S ADAMS ST, ST CROIX FALLS, WI 54024
(715) 483-3259
(715) 483-5136
Mailing address
213 SOUTH ADAMS STREET, ST CROIX FALLS, WI 54024
(715) 483-3259
(715) 483-5136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2589-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-02486
MEDICA/SELECT CARE
WI
01
—
270L2DO
BCBS MN
WI
05
—
38623500
—
WI
01
—
511297
NVA
WI
01
—
5173080001
DMEPOS
—
01
—
538722180
MN MA
MN
01
—
97969-1007552
PREFERRED ONE
WI
01
—
HP26431
HEALTH PARTNERS
WI
01
—
P00175525
RAILROAD MEDICARE
WI
Enumeration date
06/28/2006
Last updated
10/03/2011
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