Individual
MICHELLE PENSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
225 SE MAIN ST, MINNEAPOLIS, MN 55414-2124
(612) 379-1555
(612) 379-1554
Mailing address
225 SE MAIN ST, MINNEAPOLIS, MN 55414-2124
(612) 379-1555
(612) 379-1554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3852
MN
Other
Enumeration date
08/23/2010
Last updated
10/28/2025
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