Individual
ROBERT A MITTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7760 FRANCE AVE S, SUITE 310, MINNEAPOLIS, MN 55435-5800
(952) 929-1131
(952) 897-1178
Mailing address
7760 FRANCE AVE S, SUITE 310, MINNEAPOLIS, MN 55435-5800
(952) 929-1131
(952) 897-1178
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32448600
—
WI
05
—
717645700
—
MN
Enumeration date
10/14/2005
Last updated
11/03/2010
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