Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 105443 | MN |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 54365 | MN |
NPI | 1003064288 |
---|---|
Provider Name | Juan Pablo Brito Campana |
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 | 31/08/2008 |
Last Update Date | 12/08/2020 |