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Individual

JOHN W BELLATTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8100 W 78TH ST STE 230, EDINA, MN 55439
(888) 892-7575
(877) 642-7575
Mailing address
64-5279 KIPAHELE ST, KAMUELA, HI 96743-8228
(808) 960-0478
(866) 901-5584

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22642
WA
207X00000X
Orthopaedic Surgery Physician
4814
HI
207X00000X
Orthopaedic Surgery Physician
Primary
51563
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02154801
HI
Enumeration date
07/21/2006
Last updated
05/19/2018
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