Vitreo Retinal Surgery Pa

NPI 1891783965 - Ophthalmology - 207W00000X

NPI Details
NPI 1891783965
Enumeration Date 10/12/2005
Last Updated 06/16/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GRETCHEN G GRETCHEN
Position CFO
Phone (952) 897-1175
Fax (952) 897-1178
Practice Location
7760 FRANCE AVE S
SUITE 310
MINNEAPOLIS MN, 55435-5800, US
Phone (952) 897-1175
Fax (952) 897-1178
Business Location
7760 FRANCE AVE S
SUITE 310
MINNEAPOLIS MN, 55435-5800, US
Phone (952) 897-1175
Fax (952) 897-1178
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
Remove 1891783965 NPI Number
 

According to our database, Vitreo Retinal Surgery Pa NPI is 1891783965, taxonomy code is 207W00000X Vitreo Retinal Surgery Pa physically located at 7760 France Ave S, Minneapolis MN, 55435-5800. NPI Number 1033115704 has the healthcare provider type.

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1891783965 NPI number is provided on an as is basis without warranty of any kind. 1891783965 is maintained by the National Plan & Provider Enumeration System. The contents of Vitreo Retinal Surgery Pa are for informational purposes only.