Individual
DR. GEROME VILLAMOR ESCOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
(952) 993-3286
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2013006232
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004943
—
MO
Enumeration date
08/08/2008
Last updated
02/15/2022
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