Minnesota Eye Laser & Surgery Centers, LLC

NPI #1205152618 in Blaine, Minnesota

Provider Information

NPI Number
1205152618
Entity Type
Organization
Organization Name
Minnesota Eye Laser & Surgery Centers, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 9, 2010
Last Updated
Apr 16, 2020

Practice Location

Address
11091 ULYSSES STREET NE
Address 2
SUITE 400
City
Blaine
ZIP Code
55434-4237
Phone
(952) 888-5800

Authorized Official

Name
CLIFTON BAZHAW
Title
SR VP REVENUE CYCLE
Phone
(469) 270-6658

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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