Individual
DR. MICHAEL PETER KRYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 NICOLLET MALL, MINNEAPOLIS, MN 55402-2040
(612) 375-2697
Mailing address
5252 HUMBOLDT AVE S, MINNEAPOLIS, MN 55419-1122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2634
MN
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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