Individual
DR. KASSANDRA M WEDEKING CALARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7789 147TH ST W, APPLE VALLEY, MN 55124
(952) 432-0680
(952) 432-8823
Mailing address
7789 147TH ST W, APPLE VALLEY, MN 55124-7568
(952) 432-0680
(952) 432-8823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2889
CT
152W00000X
Optometrist
Primary
3550
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008051554
—
CT
Enumeration date
07/10/2013
Last updated
10/10/2018
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