Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 65256 | MN |
N | 111NI0900X | Internist | 65256 | MN |
Y | 207RN0300X | Nephrologist | 65256 | MN |
NPI | 1043661549 |
---|---|
Provider Name | Dr. Janina Paula Tiulentino Sy-Go |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2016 |
Last Update Date | 06/08/2020 |