Organization
GAVIN EYE CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BENDER (BUSINESS MANAGER)
(763) 458-3118
Entity
Organization
Contact information
Practice address
115 DREW AVE SE, SUITE 201, MADELIA, MN 56062-1873
(507) 995-9747
(763) 444-3996
Mailing address
23886 STATE HIGHWAY 22, MANKATO, MN 56001-7546
(507) 995-9747
(763) 444-3996
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35388
MN
Other
Enumeration date
07/13/2010
Last updated
05/17/2012
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