Individual
CLAUDIA HERAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19576 HOLT ST NW, ELK RIVER, MN 55330-1287
(763) 241-2083
Mailing address
253 LAKE ST E APT 305, WAYZATA, MN 55391-1667
(802) 760-9618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3810
MN
152W00000X
Optometrist
3983-35
WI
152W00000X
Optometrist
4901005762
MI
Other
Enumeration date
08/04/2022
Last updated
11/20/2024
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