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 A POLKA (ASSISTANT ADMINISTRATIVE MANAGER)
(701) 293-9829
Entity
Organization
Contact information
Practice address
1405 ANNE ST NW, BEMIDJI, MN 56601-5113
(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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