Individual
HEIDI NOEL SKONSENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8900 HIGHWAY 7, ST LOUIS PARK, MN 55426-3919
(952) 933-4858
Mailing address
11182 MEG GRACE LN, EDEN PRAIRIE, MN 55344-7853
(713) 823-1422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3097
MN
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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