Individual
DR. DONALD ALLEN RISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3939 W 50TH ST, STE. 200, EDINA, MN 55424-1244
(952) 920-2020
(952) 920-3225
Mailing address
3939 W 50TH ST, STE. 200, EDINA, MN 55424-1244
(952) 920-2020
(952) 920-3225
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25476
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219792800
—
MN
Enumeration date
07/31/2006
Last updated
09/09/2020
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