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Individual

MIA E SKOURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
50152
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
864987000
MN
Enumeration date
07/05/2007
Last updated
09/25/2007
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