Organization
REGIONAL EYE SURGERY CENTER INC
Active
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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