Minneapolis Medical Eye Clinic, P.a.
NPI #1750498465 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1750498465
- Entity Type
- Organization
- Organization Name
- Minneapolis Medical Eye Clinic, P.a.
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Aug 20, 2008
Practice Location
- Address
- 710 E 24TH ST
- Address 2
- SUITE 402
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55404-3840
- Phone
- (612) 871-3611
Authorized Official
- Name
- BRIAN CHARLES FOUNTAIN
- Title
- CLINIC MANAGER
- Phone
- (612) 871-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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