Organization
XUAN-MAI TA INC.OPTOMETRIST AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XUANMAI THI TA O.D. (DR)
(952) 380-8068
Entity
Organization
Contact information
Practice address
2718 NICOLLET AVENUE SOUTH, SUITE 103, MINNEAPOLIS, MN 55408
(612) 871-1518
(612) 871-2585
Mailing address
12167 CARTWAY CURVE, EDEN PRAIRIE, MN 55347
(952) 380-8068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T2107
MN
Other
Enumeration date
05/01/2007
Last updated
03/13/2008
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