Individual
MICHELLE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 1ST AVE E, CAMBRIDGE, MN 55008-1209
(763) 689-1494
Mailing address
120 1ST AVE E, MR 10809, CAMBRIDGE, MN 55008-1209
(763) 689-1494
(763) 691-8395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2600
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693718700
—
MN
Enumeration date
04/04/2006
Last updated
10/11/2017
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