Individual
DR. STEFANIE A. HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4200 COUNTY ROAD 42 W, SAVAGE, MN 55378-4051
(952) 895-5434
Mailing address
4200 COUNTY ROAD 42 W, SAVAGE, MN 55378-4051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2777
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061M9FA
BCBS
MN
01
—
22-01792
MEDICA
MN
01
—
31388
HEALTH PARTNERS
MN
01
—
407231025417
PREFERRED ONE
MN
Enumeration date
07/13/2006
Last updated
07/08/2007
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