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NPI Code Detail

MEDICARE: STEVEN P CONSOER

MEDICARE: STEVEN P CONSOER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1447439013
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVEN P CONSOER
Provider Business Mailing Address
First Line : 7872 MARKET BLVD
Second Line :
City : CHANHASSEN
State : MN
Zip : 55317-9440
Country : US
Telephone Number : 952-934-1424
Fax Number : 952-934-2140
Provider Business Practice Location Address
First Line : 7872 MARKET BLVD
Second Line :
City : CHANHASSEN
State : MN
Zip : 55317-9440
Country : US
Telephone Number : 952-934-1424
Fax Number : 952-934-2140
Authorized Official
Title or Position : MGR
Name : CHRIS OSSMO
Credential :
Telephone Number : 952-884-8338
Provider Enumeration Date : 10/30/2007
Last Update Date : 03/13/2008

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Directions to “STEVEN P CONSOER ” Practice Location

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