Individual
DR. STEPHANIE LYNN THIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1607 MCMILLAN ST, WORTHINGTON, MN 56187-2802
(507) 727-3937
(507) 727-3939
Mailing address
1607 MCMILLAN ST, WORTHINGTON, MN 56187-2802
(507) 727-3937
(507) 727-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
594
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203300
—
SD
05
—
9203302
—
SD
Enumeration date
11/30/2006
Last updated
09/17/2009
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