DR. Kristina M Borespupp, OD

NPI #1831159680 in Plymouth, Minnesota

Provider Information

NPI Number: 1831159680
Entity Type: Individual
Name: DR. Kristina M Borespupp, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4455 HIGHWAY 169 N
City: Plymouth
State: Minnesota
ZIP Code: 55442-2897
Phone: (763) 551-0529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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