Organization
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI DODGE (CLINIC ADMINISTRATOR)
(952) 925-4161
Entity
Organization
Contact information
Practice address
6405 FRANCE AVE S STE W460, EDINA, MN 55435-2189
(952) 925-4161
(952) 925-3520
Mailing address
6405 FRANCE AVE S STE W460, EDINA, MN 55435-2189
(952) 925-4161
(952) 925-3520
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
33370
MN
Other
Enumeration date
12/13/2017
Last updated
06/11/2019
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