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Individual
DR. JUAN CRESTANELLO
Active
Individual
DR. JUAN CRESTANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
43892
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35084532
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
43892
MN
Other
Enumeration date
05/16/2006
Last updated
08/13/2020
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