Individual
DR. KRISTEL ANN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6936 PINE ARBOR DR S STE 110, COTTAGE GROVE, MN 55016-4672
(651) 769-1020
(615) 769-1021
Mailing address
1719 TOWER DR W STE 100, STILLWATER, MN 55082-7512
(651) 257-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3048
WI
152W00000X
Optometrist
Primary
3057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699706515
—
MN
05
—
38629900
—
WI
Enumeration date
07/06/2006
Last updated
10/08/2024
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