Individual
EMMA PANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
101 MAIN ST S STE 103105, LE SUEUR, MN 56058-7502
(507) 665-3366
Mailing address
101 MAIN ST S STE 103105, LE SUEUR, MN 56058-7502
(507) 665-3366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3923
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3923
STATE OF MN O.D LIC
MN
Enumeration date
05/28/2024
Last updated
05/28/2024
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