Minnesota Eye Consultants, PA

NPI #1104146265 in Blaine, Minnesota

Provider Information

NPI Number: 1104146265
Entity Type: Organization
Organization Name: Minnesota Eye Consultants, PA
Primary Specialty: Ophthalmology
Enumeration Date: Jun 10, 2010
Last Updated: Feb 22, 2017

Practice Location

Address: 11091 ULYSSES ST NE
Address 2: SUITE 300
City: Blaine
State: Minnesota
ZIP Code: 55434-4237
Phone: (952) 888-5800

Authorized Official

Name: BRENT L WILDE
Title: PRESIDENT
Phone: (952) 567-6143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X
Ophthalmology	207W00000X	Primary

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