Individual
DR. RAYMOND J FACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01042301
IN
2085R0202X
Diagnostic Radiology Physician
Primary
37386
AZ
2085R0202X
Diagnostic Radiology Physician
DR.0053989
CO
Other
Enumeration date
05/12/2006
Last updated
07/12/2021
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