Organization
MINNESOTA RETINA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (SR VICE PRESIDENT REVENUE CYCLE)
(469) 270-6658
Entity
Organization
Contact information
Practice address
9801 DUPONT AVE S STE 110, BLOOMINGTON, MN 55431-3179
(612) 355-6510
Mailing address
8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 55427-4488
(763) 416-7600
(763) 416-7634
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
10/23/2025
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