Individual
SAMUEL HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8362 TAMARACK VLG STE 108, WOODBURY, MN 55125-3392
(651) 730-9662
Mailing address
4135 BENJAMIN DR UNIT 224, WOODBURY, MN 55129-2248
(651) 354-9354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3872
MN
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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