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Vitreo Retinal Surgery Pa

Vitreo Retinal Surgery Pa is a health care provider in Minneapolis, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7760 France Ave S, Suite 310, Minneapolis, MN 55435-5800, US
Practice Location Phone952-897-1175
Practice Location Fax952-897-1178
Legal Business NameVITREO RETINAL SURGERY PA
NPI ?1891783965
Entity TypeOrganization
Enumeration Date ? Oct 12, 2005
Last Update Date ? Jun 16, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Vitreo Retinal Surgery Pa

SpecialtySpecializationLicenseLicense State
Ophthalmology

legacy-id-icon Legacy Provider IDs of Vitreo Retinal Surgery Pa

Provider IdIssuer StateIssuer TypeIssuer
27420RAMinnesotaOtherBCBS

official-icon Authorized Official of Vitreo Retinal Surgery Pa

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Vitreo Retinal Surgery Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Gretchen G Poffenberger
Authorized Official Title/PositionCFO
Authorized Official Phone Number952-897-1175