Matthew Hennen, O.D.

NPI #1639527708 in West St Paul, Minnesota

Provider Information

NPI Number
1639527708
Entity Type
Individual
Name
Matthew Hennen, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
May 31, 2016
Last Updated
May 31, 2016

Practice Location

Address
1540 HUMBOLDT AVE
Address 2
SUITE 201
ZIP Code
55118-3417
Phone
(651) 457-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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