Provider Demographics
NPI:1396023735
Name:MAJEWICZ ANDREWS, MARIA (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:MAJEWICZ ANDREWS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:MAJEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:650 MAIN ST N
Mailing Address - Street 2:UNIT 2
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6764
Mailing Address - Country:US
Mailing Address - Phone:651-261-2976
Mailing Address - Fax:
Practice Address - Street 1:3102 W 50TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-2101
Practice Address - Country:US
Practice Address - Phone:612-920-3938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3228152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist