Individual
EMILY NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13889 RIDGEDALE DR, MINNETONKA, MN 55305-1768
(763) 241-1090
(763) 241-1091
Mailing address
15704 90TH ST NE # 100, OTSEGO, MN 55330-7448
(763) 241-1090
(763) 241-1091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61166966
WA
Other
Enumeration date
08/17/2021
Last updated
01/04/2023
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