| NPI | 1245629369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA HENNEN Glaucoma Specialist/Owner 612-470-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MN 56474) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-09-14 |