| NPI | 1467641597 |
|---|---|
| Doing Business As | REGIONAL EYE ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WALLYN Owner/President 952-442-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-04-29 |