Individual
JUAN JOSE BLONDET TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 SMITH AVE N, SUITE 700, SAINT PAUL, MN 55102-2424
(651) 241-6600
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58898
MN
208600000X
Surgery Physician
A129415
CA
Other
Enumeration date
04/15/2009
Last updated
11/10/2020
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