Organization
REGIONAL EYE SURGERY CENTER INC
Active
Other names
REGIONAL EYE ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WALLYN MD (OWNER/PRESIDENT)
(952) 442-9770
Entity
Organization
Contact information
Practice address
1455 MONTREAL ST SE, HUTCHINSON, MN 55350-3318
(320) 587-6308
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
04/29/2008
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