Organization
EDINA MN OPHTHALMOLOGY ASC LLC
Active
Other names
McCannel Eye Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3124 W 70TH ST, EDINA, MN 55435-4227
(952) 848-8338
(952) 848-8302
Mailing address
3124 W 70TH ST, EDINA, MN 55435-4227
(952) 848-8338
(952) 848-8302
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430006881
BUHAIN, CRNA
MN
Enumeration date
05/30/2008
Last updated
09/07/2023
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