Proeyecare Associates PA

NPI #1790073815 in Shoreview, Minnesota

Provider Information

NPI Number: 1790073815
Entity Type: Organization
Organization Name: Proeyecare Associates PA
Primary Specialty: Ophthalmology
Enumeration Date: Jul 11, 2011
Last Updated: Jul 11, 2011

Practice Location

Address: 4625 CHURCHILL ST
Address 2: SUITE 210
City: Shoreview
State: Minnesota
ZIP Code: 55126-5868
Phone: (651) 645-3997

Authorized Official

Name: DIANNA KENT
Title: CLINIC ADMINISTRATOR
Phone: (651) 645-3997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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