Minnesota Retina Associates, LLC
NPI #1356099352 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1356099352
- Entity Type
- Organization
- Organization Name
- Minnesota Retina Associates, LLC
- Primary Specialty
- Ophthalmology - Retina Specialist
- Enumeration Date
- Mar 17, 2022
- Last Updated
- Oct 23, 2025
Practice Location
- Address
- 9801 DUPONT AVE S STE 110
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-3179
- Phone
- (612) 355-6510
Authorized Official
- Name
- CLIFTON CHAD BAZHAW
- Title
- SR VICE PRESIDENT REVENUE CYCLE
- Phone
- (469) 270-6658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology - Retina Specialist — Retina Specialist |
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