Individual
DR. MARTA BAKOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9965 HUDSON PL, WOODBURY, MN 55125-9401
(612) 252-0047
Mailing address
9965 HUDSON PL, WOODBURY, MN 55125-9401
(612) 252-0047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2787
CO
152W00000X
Optometrist
Primary
3213
MN
Other
Enumeration date
09/23/2010
Last updated
11/23/2011
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