Provider Demographics
NPI:1437167848
Name:MEIUSI, RHONDI SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDI
Middle Name:SUE
Last Name:MEIUSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 W 50TH ST
Mailing Address - Street 2:STE. 200
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1244
Mailing Address - Country:US
Mailing Address - Phone:952-920-2020
Mailing Address - Fax:
Practice Address - Street 1:3939 W 50TH ST
Practice Address - Street 2:STE. 200
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1244
Practice Address - Country:US
Practice Address - Phone:952-920-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32178207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN219792800Medicaid
MN219792800Medicaid
180000367Medicare ID - Type Unspecified