Individual
JOSEPH ANTHONY BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
Mailing address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30887
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32461400
—
WI
Enumeration date
08/10/2006
Last updated
05/06/2011
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