Organization
MINNESOTA EYE INSTITUTE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ARTHUR CARLSON MD (OWNER)
(320) 759-2020
Entity
Organization
Contact information
Practice address
3401 S BROADWAY, ALEXANDRIA, MN 56308-3477
(320) 759-2020
(320) 759-2424
Mailing address
3401 S BROADWAY, ALEXANDRIA, MN 56308-3477
(320) 759-2020
(320) 759-2424
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382112900
—
MN
Enumeration date
09/26/2005
Last updated
09/24/2012
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