Organization
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS, P.C.
Active
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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