Organization
RETINA CONSULTANTS, LTD
Active
Parent organization
RETINA CONSULTANTS, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
RETINA CONSULTANTS, LTD
Authorized official
LAURIE POLKA (ASSISTANT ADMINISTRATIVE MANAGER)
(701) 293-9829
Entity
Organization
Contact information
Practice address
4350 S WASHINGTON ST, SUITE #112, GRAND FORKS, ND 58201-7184
(701) 293-9829
(701) 293-0111
Mailing address
2829 S UNIVERSITY DRIVE, SUITE 204, FARGO, ND 58103
(701) 293-9829
(701) 293-0111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
09/07/2017
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