Individual
MRS. INELL COESETA ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5565 BLAINE AVE, SUITE 225, INVER GROVE HEIGHTS, MN 55076-1238
(651) 888-7800
(651) 888-7801
Mailing address
5565 BLAINE AVE, SUITE 225, INVER GROVE HEIGHTS, MN 55076-1238
(651) 888-7803
(651) 888-7820
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39684
MN
207YS0012X
Sleep Medicine (Otolaryngology) Physician
39684
MN
208600000X
Surgery Physician
39684
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104862523
—
MN
05
—
824517700
—
MN
Enumeration date
06/22/2006
Last updated
08/11/2016
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