Individual
ENRIQUE VERGARA ESCUDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-2363
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
34210
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
35520
MN
Other
Enumeration date
04/08/2024
Last updated
05/11/2025
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