Organization
COMPLETE EYE CARE OF MEDINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA M WESLEY OD (OWNER)
(763) 478-3505
Entity
Organization
Contact information
Practice address
922 HIGHWAY 55, SUITE 300, MEDINA, MN 55340-9545
(763) 478-3505
Mailing address
922 HIGHWAY 55, SUITE 300, MEDINA, MN 55340-9545
(763) 478-3505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3061
MN
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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