Individual
MELISSA ANNA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4118 W DIVISION ST, SAINT CLOUD, MN 56301-3706
(320) 251-2020
Mailing address
4118 W DIVISION ST, SAINT CLOUD, MN 56301-3706
(320) 251-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3125
MN
Other
Enumeration date
07/16/2007
Last updated
11/29/2016
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