Eye Plastic Surgery of Minnesota Pllc

NPI #1154887131 in Woodbury, Minnesota

Provider Information

NPI Number: 1154887131
Entity Type: Organization
Organization Name: Eye Plastic Surgery of Minnesota Pllc
Primary Specialty: Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Enumeration Date: Feb 14, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 635 BIELENBERG DR STE 220
City: Woodbury
State: Minnesota
ZIP Code: 55125-1413
Phone: (651) 998-9048

Authorized Official

Name: DR. MOHIT DEWAN, MD
Title: PRESIDENT
Phone: (651) 998-9048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery	207WX0200X	Primary

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