Organization
EXCELSIOR EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON MJELSTAD OD (PARTNER)
(952) 401-6300
Entity
Organization
Contact information
Practice address
228 WATER ST, EXCELSIOR, MN 55331-1825
(952) 401-6300
(952) 401-6303
Mailing address
PO BOX 1170, MAPLE GROVE, MN 55311-6170
(952) 401-6300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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