Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 2011022285 | MO |
N | 207RN0300X | Nephrologist | 22235 | MS |
Y | 207RN0300X | Nephrologist | 46697 | MN |
NPI | 1033197934 |
---|---|
Provider Name | Iasmina M Craici |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I12305 | (02) |