Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R73617 | AZ |
N | 111NI0900X | Internist | R73617 | AZ |
Y | 207RG0100X | Gastroenterologist | 64777 | MN |
NPI | 1033468699 |
---|---|
Provider Name | Diana Franco Corso |
First Address | Mankato, MN 56001-4752 |
Second Address | Mankato, MN 56001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2012 |
Last Update Date | 18/09/2020 |