Individual
KATHERINE L SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8325 SEASONS PKWY, WOODBURY, MN 55125-3477
(651) 702-5300
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2422
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082225600
—
MN
Enumeration date
02/02/2006
Last updated
04/27/2021
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