Organization
FUSION HD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY SEYLLER PASSMORE O.D. (CEO)
(651) 249-6537
Entity
Organization
Contact information
Practice address
3001 WHITE BEAR AVE N, SUITE 1050, MAPLEWOOD, MN 55109-1215
(651) 770-3923
(651) 770-5316
Mailing address
3001 WHITE BEAR AVE N, SUITE 1050, MAPLEWOOD, MN 55109-1215
(651) 770-3923
(651) 770-5316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2105
MN
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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