Individual
JAMES MAZZUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2503
(952) 993-2794
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
471
MN
Other
Enumeration date
12/21/2005
Last updated
11/13/2012
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