Organization
NORTH SUBURBAN EYE SPECIALISTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELTA JORGENSEN (PRACTICE ADMINISTRATOR)
(763) 421-7420
Entity
Organization
Contact information
Practice address
3790 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2629
(763) 421-7420
(763) 421-0730
Mailing address
11855 ULYSSES ST., SUITE 140, BLAINE, MN 55434
(763) 421-7420
(763) 421-0730
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MN
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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