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Individual

DR. JOHNATHAN VALESANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
23294 DUTCHMANS BLF, NISSWA, MN 56468-2792
(218) 839-5174

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
108380
MN
2085R0202X
Diagnostic Radiology Physician
Primary
59603
MN

Other

Enumeration date
04/06/2014
Last updated
06/22/2020
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