Organization
COMPREHENSIVE OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL F BRUER MD (OWNER)
(952) 476-8602
Entity
Organization
Contact information
Practice address
3209 WEST 76TH ST, #303, EDINA, MN 55435
(952) 844-2020
(952) 844-2021
Mailing address
275 HOLLANDER RD, WAYZATA, MN 55391
(952) 476-8602
(952) 476-8602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
639R1CO
BCBS
—
Enumeration date
01/20/2006
Last updated
10/17/2007
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