NPI 1114258936
Imis Mn INC
Practice location
- Address
- 1270 Promenade Pl Suite 120, Eagan, MN 55121-2299
- Phone
- (952) 546-4414
- Fax
- (952) 541-0831
- Mailing address
- 12577 Wayzata Blvd, Minnetonka, MN 55305-1938
Authorised official
- Name
- Mike Arends
- Title
- Owner
- Phone
- (952) 546-4414
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1114258936
- Entity type
- Organization
- NPI issued
- 18 Jan 2010
- Record last updated
- 18 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.