Individual
GINA MARIE DOEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9801 DUPONT AVE S, 200, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT S AVE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2854
MN
152WC0802X
Corneal and Contact Management Optometrist
Primary
2854
MN
Other
Enumeration date
10/17/2005
Last updated
12/04/2015
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