Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 48529 | MN |
NPI | 1003894460 |
---|---|
Provider Name | Stefano M Sinicropi |
First Address | Stillwater, MN 55082-7615 |
Second Address | Edina, MN 55435-4549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 11/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0902456 | MEDICA (01) | MN |
1047423 | PREFERRED ONE (01) | MN |
133254 | UCARE (01) | MN |
337150600 | (05) | MN |
34861400 | (05) | WI |
79G21SI | BLUE CROSS BLUE SHIELD (01) | MN |
HP63454 | HEALTH PARTNERS (01) | MN |
I38346 | (02) |