Individual
MARY BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10961 CLUB WEST PKWY, SUITE 130, BLAINE, MN 55449-5866
(763) 571-7550
(763) 253-4142
Mailing address
10961 CLUB WEST PKWY, SUITE 130, BLAINE, MN 55449-5866
(764) 571-7550
(763) 253-4142
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40243
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
939972100
—
MN
Enumeration date
05/24/2006
Last updated
11/25/2013
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