Individual
MS. ELIZABETH POWERS OHNESORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1006 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2417
(612) 333-2852
(612) 333-1953
Mailing address
1006 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2417
(612) 333-2852
(612) 333-1953
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02484
SPECTERA
MN
01
—
102100
UCARE
MN
01
—
2121692
MEDICA
MN
01
—
4342
DAVIS VISION
MN
Enumeration date
11/15/2006
Last updated
07/09/2007
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