OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.A. is a specialist in Minneapolis, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.A. NPI is 1386716157. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4887 E LAKE HARRIET BLVD
MINNEAPOLIS, MN
ZIP 55419-222
Phone: (612) 325-0317
The provider's authorized official is Richard P Carroll .
The authorized official title is President/owner and has the following contact phone number (612) 325-0317.
The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/27/2010.