Individual
MARK L. EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2001 BLAISDELL AVE, MINNEAPOLIS, MINNEAPOLIS, MN 55404-2414
(952) 993-8000
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2019
MN
Other
Enumeration date
12/20/2005
Last updated
02/29/2016
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