Organization
ALEXANDRIA EYE CLINIC P.A.
Active
Organization
ALEXANDRIA EYE CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN SCHARNBERG (CFO)
(605) 359-9155
Entity
Organization
Contact information
Practice address
2600 JEFFERSON ST STE 200, ALEXANDRIA, MN 56308-3410
(320) 762-2166
(605) 371-7199
Mailing address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 371-7100
(605) 371-7199
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20870
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242392800
—
MN
Enumeration date
05/02/2006
Last updated
05/21/2024
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