Organization
OPHTHALMOLOGY ASSOCIATES OF MANKATO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA EMICH (ADMINISTRATOR)
(507) 345-6151
Entity
Organization
Contact information
Practice address
1630 ADAMS ST, MANKATO, MN 56001
(507) 345-6151
(507) 625-1096
Mailing address
1630 ADAMS ST, MANKATO, MN 56001-4801
(507) 345-6151
(507) 625-1096
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D48658
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590312200
—
MN
Enumeration date
06/21/2005
Last updated
01/17/2024
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