Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 37765 | AZ |
Y | 207VX0201X | Gynecologic Oncologist | 49429 | MN |
NPI | 1124204946 |
---|---|
Provider Name | Dr. Andrea Mariani |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 18/08/2020 |