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 |