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Individual

MS. KATHY G MULIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5710
(763) 862-4490
Mailing address
6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2542
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08F81MU
BCBS OF MN
MN
01
1012433
PREFERRED ONE
MN
01
115621
UCARE MN
MN
01
2200397
MEDICA NUMBER
MN
05
442219800
MN
01
5885414
AETNA
MN
01
765923
AMERICA'S PPO
MN
01
HP20812
HEALTHPARTNERS
MN
Enumeration date
08/05/2006
Last updated
04/02/2012
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