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Individual

DR. GABRIEL ALEJANDRO OLIVARES RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102-2568
(651) 290-0133
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70937
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.143209
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
70937
MN
390200000X
Student in an Organized Health Care Education/Training Program
57.020334
OH

Other

Enumeration date
11/03/2011
Last updated
08/10/2022
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