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Individual

ANNE-MARIE P AVALLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02003373A
IN
207L00000X
Anesthesiology Physician
58001929
OH
207L00000X
Anesthesiology Physician
Primary
81702
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000585963
ANTHEM PROVIDER NUMBER
IN
05
200920770
IN
Enumeration date
05/10/2007
Last updated
03/18/2026
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