Anthony A Spagnolo

NPI 1891772380 - Family Medicine - 207Q00000X

NPI Details
NPI 1891772380
Gender Male
Enumeration Date 12/27/2005
Last Updated 10/07/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1415 SAINT FRANCIS AVE
PARK NICOLLET CLINIC - SHAKOPEE
SHAKOPEE MN, 55379-3374, US
Phone (952) 993-7800
Fax (952) 993-7835
Business Location
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK MN, 55426-1728, US
Phone (952) 993-7169
Fax (952) 993-0300
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 16736
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According to our database, Anthony A Spagnolo NPI is 1891772380, taxonomy code is 207Q00000X and license number is 16736, license state is located at Minnesota. Anthony A Spagnolo physically located at 1415 Saint Francis Ave, Shakopee MN, 55379-3374. NPI Number Anthony A Spagnolo has the Individual type.

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1891772380 NPI number is provided on an as is basis without warranty of any kind. 1891772380 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony A Spagnolo are for informational purposes only.