Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 47362 | MN |
Y | 2080P0214X | Pediatric Pulmonologist | 47362 | MN |
NPI | 1639157928 |
---|---|
Provider Name | Paul Torquato Pianosi |
First Address | Rochester, MN 55905-0001 |
Second Address | Minneapolis, MN 55454-1404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 09/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
852926400 | (05) | MN |
I25881 | (02) |