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Organization

EDINA EYE CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDI SUE MEIUSI MD (PRESIDENT)
(612) 865-5622
Entity
Organization

Contact information

Practice address
3939 W 50TH ST STE 200, EDINA, MN 55424-1285
(952) 920-2020
(952) 920-3225
Mailing address
3939 W 50TH ST, STE. 200, EDINA, MN 55424-1244
(952) 920-2020

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
584
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7408102
MN
Enumeration date
05/05/2006
Last updated
09/09/2020
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