MATTHEW HENNEN, O.D.

Optometrist

Active Individual
NPI: 1639527708

Practice Address

1540 HUMBOLDT AVE
SUITE 201
West St Paul, MN 55118

Phone: (651) 457-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 3467 (MN)

Frequently Asked Questions

NPI 1639527708 is the National Provider Identifier for MATTHEW HENNEN, O.D., a Optometrist provider located in West St Paul, MN. This NPI was enumerated on May 31, 2016.
MATTHEW HENNEN, O.D. practices at 1540 HUMBOLDT AVE, SUITE 201, West St Paul, MN 55118.

Quick Facts

NPI
1639527708
Type
Individual
Enumerated
May 31, 2016
Last Updated
May 31, 2016

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