Individual
MS. WENDY A GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1101 1ST ST NE, NEW PRAGUE, MN 56071-2197
(952) 758-2080
(952) 758-5922
Mailing address
PO BOX 261, NEW PRAGUE, MN 56071-0261
(952) 758-2080
(952) 758-5922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2402
MN
152WC0802X
Corneal and Contact Management Optometrist
2402
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012025100
—
MN
Enumeration date
09/14/2005
Last updated
11/27/2023
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