| NPI | 1437213527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WEDUL President 651-646-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 29010) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN E15851) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2016-10-24 |