Individual
VINCENT VALLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, F282/2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-9800
(612) 273-9779
Mailing address
2450 RIVERSIDE AVE, F282/2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-9800
(612) 273-9779
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58860
MN
Other
Enumeration date
04/15/2013
Last updated
10/12/2017
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