Individual
KRISTIN SKLUZACEK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009996
IL
152W00000X
Optometrist
3126
WI
152W00000X
Optometrist
Primary
3137
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009996
—
IL
Enumeration date
07/13/2007
Last updated
02/26/2026
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