Individual
DR. RAFAEL SANTIAGO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 424 HARVARD STREET SE, FIRST FLOOR, SUITE M100, MINNEAPOLIS, MN 55455
(612) 625-5411
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455
(612) 625-1400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40443
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
40443
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713651
—
IA
Enumeration date
06/15/2006
Last updated
05/08/2012
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