Organization
NORTHERN REFRACTIVE SURGERY CENTER LTD
Active
Other names
Northern Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROSS WEIS MD (OWNER PHYSICIAN)
(218) 625-1917
Entity
Organization
Contact information
Practice address
4815 W ARROWHEAD RD, SUITE 120, HERMANTOWN, MN 55811-4004
(218) 625-1917
(218) 625-7182
Mailing address
4815 W ARROWHEAD RD, SUITE 120, HERMANTOWN, MN 55811-4004
(218) 625-1917
(218) 625-7182
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3F033BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/14/2006
Last updated
03/18/2008
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