Individual
EMILY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5730 BOTTINEAU BLVD., CRYSTAL, MN 55369
(763) 537-3213
Mailing address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(763) 537-3213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3553
MN
Other
Enumeration date
06/06/2018
Last updated
05/09/2023
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