Andrew John Portis M.D.

NPI 1881681815 - Urology - 208800000X

NPI Details
NPI 1881681815
Gender Male
Enumeration Date 10/04/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
360 SHERMAN ST
SUITE 400
SAINT PAUL MN, 55102-2564, US
Phone (651) 999-6800
Fax (651) 999-6810
Business Location
2550 UNIVERSITY AVE W
SUITE 240N
SAINT PAUL MN, 55114-1052, US
Phone (651) 999-6909
Fax (651) 297-6115
Toxanomy
Taxonomy Code 208800000X
License State Minnesota
License Number 42720
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According to our database, Andrew John Portis M.D. NPI is 1881681815, taxonomy code is 208800000X and license number is 42720, license state is located at Minnesota. Andrew John Portis M.D. physically located at 360 Sherman St, Saint Paul MN, 55102-2564. NPI Number Andrew John Portis M.D. has the Individual type.

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1881681815 NPI number is provided on an as is basis without warranty of any kind. 1881681815 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew John Portis M.D. are for informational purposes only.