Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 66215 | MN |
N | 207RA0201X | Internist - Allergy & Immunology | 036134739 | IL |
NPI | 1295020550 |
---|---|
Provider Name | Dr. Sergio Elias Chiarella |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-2908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2011 |
Last Update Date | 12/08/2020 |