Whalio Doctors

NPI 1205870045

Mark Lobanoff, MD

Practitioner Ophthalmology Physician St Louis Park, MN

Practice location

Address
6099 Wayzata Blvd STE 100-120, St Louis Park, MN 55416-5538
Phone
(952) 204-5060
Fax
(952) 204-9060

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 207W00000X (MN)

Registry record

NPI
1205870045
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jun 2006
Record last updated
28 Jun 2023

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.