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Individual

DR. STEPHEN JOSEPH SHIROLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6268 BOONE AVE NORTH, BROOKLYN PARK, MN 55428
(763) 257-0344
(763) 257-0346
Mailing address
11673 PONDVIEW CT, CHAMPLIN, MN 55316
(763) 422-9209

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2160
MN

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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