Central Minnesota Retina Consultants, Pllc

NPI #1902134877 in Sartell, Minnesota

Provider Information

NPI Number: 1902134877
Entity Type: Organization
Organization Name: Central Minnesota Retina Consultants, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Dec 3, 2009
Last Updated: Dec 3, 2009

Practice Location

Address: 2330 TROOP DR
Address 2: SUITE 104
City: Sartell
State: Minnesota
ZIP Code: 56377-4530
Phone: (320) 230-8555

Authorized Official

Name: MR. DALE S REYNOLDS, MD, PH. D.
Title: OWNER
Phone: (320) 230-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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