Individual
DR. VINCENT R VANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3601 W 76TH ST STE 325, EDINA, MN 55435-5242
(952) 929-1131
(952) 929-8873
Mailing address
3601 W 76TH ST STE 325, EDINA, MN 55435-5242
(952) 929-1131
(952) 929-8873
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
78671
MN
207W00000X
Ophthalmology Physician
K6387
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
78671
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
K6387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104512206
—
TX
Enumeration date
06/22/2005
Last updated
05/01/2026
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