Edina Retina Consultants

NPI #1144264995 in Edina, Minnesota

Provider Information

NPI Number: 1144264995
Entity Type: Organization
Organization Name: Edina Retina Consultants
Primary Specialty: Specialist
Enumeration Date: Jun 15, 2006
Last Updated: Oct 24, 2007

Practice Location

Address: 6525 FRANCE AVE S STE 115
City: Edina
State: Minnesota
ZIP Code: 55435-2283
Phone: (952) 345-8200

Authorized Official

Name: DR. RICHARD H. JOHNSTON, M.D.
Title: PRESIDENT
Phone: (952) 345-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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