Individual
CESAR JUAN JOSE ERCOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SHERMAN ST, SUITE 450, SAINT PAUL, MN 55102-2564
(651) 999-6800
(651) 999-6808
Mailing address
2550 UNIVERSITY AVE W, SUITE 240N, SAINT PAUL, MN 55114-1052
(651) 999-6909
(651) 297-6115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444287300
—
MN
Enumeration date
10/03/2005
Last updated
10/25/2012
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