Individual
MS. JULIE RENAE PAPENFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
(218) 333-2019
Mailing address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
(218) 333-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02246
IA
152W00000X
Optometrist
Primary
2828
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028324
—
IA
05
—
1538120530
—
MN
Enumeration date
03/29/2006
Last updated
04/27/2012
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