Individual
GINA MARIE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
922 HIGHWAY 55 STE 300, MEDINA, MN 55340-9771
(763) 478-3505
(763) 478-2727
Mailing address
922 HIGHWAY 55 STE 300, MEDINA, MN 55340-9771
(763) 478-3505
(763) 478-2727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3061
MN
Other
Enumeration date
07/08/2006
Last updated
06/29/2011
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