Individual
ERICKA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3024 SNELLING AVE, MINNEAPOLIS, MN 55406-1911
(612) 775-4900
(612) 721-1621
Mailing address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 642-2700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2908
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524113800
—
MN
Enumeration date
07/06/2006
Last updated
03/11/2021
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