Individual
MR. ELIAS CEDILLO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5905 34TH AVE S, MINNEAPOLIS, MN 55450-2900
(612) 713-4849
Mailing address
5905 34TH AVE S, MINNEAPOLIS, MN 55450-2900
(612) 713-4849
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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