Individual
DR. FORTUNATA GRACE MILANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 12TH AVE S, BUFFALO, MN 55313-2321
(763) 682-4400
(763) 682-1353
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123566C851
UCARE
—
01
—
1563706
MEDICA
—
01
—
333J0MI
BCBS
—
05
—
617220200
—
MN
01
—
922241014077
PREFERRED ONE
—
01
—
HP22457
HEALTH PARTNERS
—
Enumeration date
06/22/2006
Last updated
01/27/2010
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