Individual
STEVEN M RAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 BLAISDELL AVE, PARK NICOLLET CLINIC-MINNEAPOLIS, MINNEAPOLIS, MN 55404-2414
(952) 993-8000
(952) 993-8039
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27963
MN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
27963
MN
Other
Enumeration date
12/08/2005
Last updated
03/11/2021
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