Individual
STEPHANIE PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
649 PILLSBURY ST N, PILLAGER, MN 56473-2507
(218) 746-2020
Mailing address
PO BOX 279, PILLAGER, MN 56473-0279
(218) 251-6656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863K9PA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/18/2006
Last updated
03/08/2020
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