St Cloud Mn Ophthalmology Asc LLC
NPI #1467499293 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1467499293
- Entity Type
- Organization
- Organization Name
- St Cloud Mn Ophthalmology Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Nov 23, 2022
Practice Location
- Address
- 2055 15TH ST N
- Address 2
- SUITE B
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-1747
- Phone
- (320) 258-6620
Authorized Official
- Name
- JEFFREY E SNODGRASS
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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