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Individual

C EDWARD VAURIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 S 8TH ST STE 600, MINNEAPOLIS, MN 55404-1209
(612) 339-7171
(612) 339-2885
Mailing address
825 S 8TH ST STE 600, PARKSIDE PROFESSIONAL BLDG, MINNEAPOLIS, MN 55404-1209
(612) 339-7171
(612) 339-2885

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018720
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XX1920197002
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/30/2006
Last updated
04/14/2008
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