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Individual

LUIGI ANTONIO DE VITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
34033
MN
207VX0201X
Gynecologic Oncology Physician
Primary
80460
MN

Other

Enumeration date
07/15/2024
Last updated
07/29/2025
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