Organization
EYECARE MPLS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA HENNEN MD, MSPH (GLAUCOMA SPECIALIST/OWNER)
(612) 470-9871
Entity
Organization
Contact information
Practice address
3033 EXCELSIOR BLVD, SUITE 205, MINNEAPOLIS, MN 55416-4688
(612) 470-9871
Mailing address
3033 EXCELSIOR BLVD, SUITE 205, MINNEAPOLIS, MN 55416-4688
(612) 470-9871
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
56474
MN
Other
Enumeration date
01/13/2015
Last updated
09/14/2015
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