Individual
SCOTT P CHEPULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1785 RADIO DR STE B, WOODBURY, MN 55125-5400
(651) 501-0920
(651) 501-0921
Mailing address
705 KINGFISHER LN APT C, WOODBURY, MN 55125-1850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2910
MN
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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