Individual
KRISTIN R. SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2356 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1853
(651) 645-8124
Mailing address
5924 AMY DR, EDINA, MN 55436-1934
(952) 926-2476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2556
MN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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