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Organization
MINNESOTA RETINA ASSOCIATES, LLC
Active
Organization
MINNESOTA RETINA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (SR VICE PRESIDENT REVENUE CYCLE)
(469) 270-6658
Entity
Organization
Contact information
Practice address
9801 DUPONT AVE S STE 110, BLOOMINGTON, MN 55431-3179
(612) 355-6510
Mailing address
8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 55427-4488
(763) 416-7600
(763) 416-7634
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
10/23/2025
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