Individual
MARGARET MARY SHIPITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
6099 WAYZATA BLVD STE 100-120, ST LOUIS PARK, MN 55416-5538
(952) 204-5060
(952) 204-9060
Mailing address
6099 WAYZATA BLVD STE 100-120, ST LOUIS PARK, MN 55416-5538
(952) 204-5060
(952) 204-9060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3646
MN
152W00000X
Optometrist
OPT.006635
OH
Other
Enumeration date
07/11/2018
Last updated
06/28/2023
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