Individual
DR. SANDRA ROCIO MONTEZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-9600
Mailing address
516 DELAWARE ST SE, OFFICE LOCATION: 09-317C PWB, MINNEAPOLIS, MN 55455-0356
(617) 407-2304
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
221745
MA
207W00000X
Ophthalmology Physician
Primary
53409
MN
Other
Enumeration date
12/21/2006
Last updated
12/12/2010
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