Individual
DR. MARI B ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9055 SPRINGBROOK DR NW, URGENCY CARE, COON RAPIDS, MN 55433-5841
(763) 236-7144
(763) 236-7733
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33781
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33781
MN MEDICAL LICENSE
MN
05
—
539500300
—
MN
Enumeration date
03/07/2006
Last updated
07/23/2015
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