Individual
DR. ANASTAS C PROVATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-2707
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
105335
MN
207RH0003X
Hematology & Oncology Physician
9500693
NC
Other
Enumeration date
09/20/2005
Last updated
10/23/2025
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