Individual
DR. TODD WILSON COSTANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A95420
CA
2086S0102X
Surgical Critical Care Physician
Primary
76734
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95420
LICENSE
CA
Enumeration date
07/22/2008
Last updated
07/09/2024
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