Organization
STEVEN P CONSOER
Active
Parent organization
STEVEN P CONSOER
Other names
Shakopee Vision Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEVEN P CONSOER
Authorized official
MS. CHRISTINE M OSSMO (MANAGER)
(952) 884-8338
Entity
Organization
Contact information
Practice address
1731 17TH AVE E, SHAKOPEE, MN 55379-3372
(952) 445-5600
(952) 445-5629
Mailing address
1731 17TH AVE E, SHAKOPEE, MN 55379-3372
(952) 445-5600
(952) 445-5629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1764
MN
Other
Enumeration date
01/18/2007
Last updated
08/20/2009
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