Organization
WEST METRO OPHTHALMOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J GROSSER MD (PARTNER)
(763) 546-8422
Entity
Organization
Contact information
Practice address
1206 CEDAR STREET, SUITE 100, MONTICELLO, MN 55362
(763) 295-0004
Mailing address
1206 CEDAR STREET, SUITE 100, MONTICELLO, MN 55362
(763) 295-0004
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875013100
—
MN
01
—
CS8149
RAILROAD MEDICARE
MN
Enumeration date
02/12/2007
Last updated
10/25/2023
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