NPI | 1477644490 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL MAYNE Business Office Manager 952-832-8143 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 7314104) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2015-02-03 |