Individual
DR. CLEMENCIA RASQUINHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
(763) 231-9602
Mailing address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
(763) 231-9602
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
60102
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
40773
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
60102
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56229216
—
CO
Enumeration date
08/15/2006
Last updated
12/10/2019
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