Individual
ABBY BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9117 LYNDALE AVE S, BLOOMINGTON, MN 55420-3522
(952) 230-6200
Mailing address
9117 LYNDALE AVE S, BLOOMINGTON, MN 55420-3522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3804
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3804
—
MN
Enumeration date
07/05/2022
Last updated
07/05/2022
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