Organization
ROSEVILLE EYE ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI MAFFITT OD (OWNER)
(608) 513-0092
Entity
Organization
Contact information
Practice address
3601 PARK CENTER BLVD APT 607, ST LOUIS PARK, MN 55416-2562
(608) 513-0092
Mailing address
1790 LEXINGTON AVE N, ROSEVILLE, MN 55113-6167
(651) 488-6771
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
09/13/2019
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