Individual
ALEX VILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5042
(651) 968-5904
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MN
363AS0400X
Surgical Physician Assistant
Primary
—
MN
Other
Enumeration date
06/17/2015
Last updated
08/30/2019
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