Healthcare Provider Details

I. General information

NPI: 1275466153
Provider Name (Legal Business Name): GRETCHEN ROSE CURTIS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CURVE CREST BLVD W
STILLWATER MN
55082-5085
US

IV. Provider business mailing address

807 SUNWOOD PARK DR
WAITE PARK MN
56387-1766
US

V. Phone/Fax

Practice location:
  • Phone: 651-275-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4058
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: