| NPI | 1598989089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA L KENT Practice Administrator 651-645-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 776) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-06-24 |