Individual
PATRICK J WANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2024 FORD PKWY, SAINT PAUL, MN 55116-1931
(652) 698-2020
(652) 698-6918
Mailing address
10538 GRANT DR, EDEN PRAIRIE, MN 55347
(952) 941-7480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2066
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
658703800
—
MN
Enumeration date
04/18/2006
Last updated
08/03/2020
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