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Organization

RETINA SPECIALISTS OF MINNESOTA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA R MONTEZUMA MD (PHYSICIAN OWNER)
(617) 407-2304
Entity
Organization

Contact information

Practice address
3525 PLYMOUTH BLVD STE 207, PLYMOUTH, MN 55447-1384
(617) 407-2304
Mailing address
3525 PLYMOUTH BLVD STE 207, PLYMOUTH, MN 55447-1384

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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