Individual
EMILY A WANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15350 ENGLISH AVE, APPLE VALLEY, MN 55124-6252
(952) 431-8500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
120548
IA
152W00000X
Optometrist
3921
WI
152W00000X
Optometrist
Primary
3936
MN
Other
Enumeration date
04/25/2023
Last updated
10/04/2024
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