Organization
OPTI-MIN PA
Active
Other names
DBA: WHITING CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WHITING MD (OWNER)
(952) 475-3787
Entity
Organization
Contact information
Practice address
7415 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1607
(952) 475-3787
Mailing address
7415 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1607
(952) 475-3787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
MN
207W00000X
Ophthalmology Physician
Primary
—
MN
Other
Enumeration date
08/13/2006
Last updated
11/18/2010
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