Individual
CASSIE MAIRS KNIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 3RD AVE NE, CROSBY, MN 56441-1665
(800) 952-3766
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3190
MN
152W00000X
Optometrist
3338ATI
OR
Other
Enumeration date
11/17/2009
Last updated
07/26/2013
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