Individual
DR. STEVEN PETER CONSOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1731 17TH AVE E, SHAKOPEE VISION CLINIC, SHAKOPEE, MN 55379-3372
(952) 445-5600
(952) 445-5629
Mailing address
1731 17TH AVE E, SHAKOPEE VISION CLINIC, SHAKOPEE, MN 55379-3372
(952) 445-5600
(952) 445-5629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1764
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G498CO
BCBS
MN
01
—
2214561
MEDICA
MN
05
—
315823300
—
MN
Enumeration date
08/04/2006
Last updated
03/07/2023
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