Individual
DR. ROBERTO CARLOS BLANCO DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, B 515 MAYO MEMORIAL BLDG MMC294, MINNEAPOLIS, MN 55455-0341
(612) 624-9903
Mailing address
420 DELAWARE ST SE, B 515 MAYO MEMORIAL BLDG MMC294, MINNEAPOLIS, MN 55455-0341
(612) 624-9903
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2010007563
MO
207L00000X
Anesthesiology Physician
Primary
59531
MN
207L00000X
Anesthesiology Physician
ME116037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101740075
—
MO
05
—
200431580A
—
OK
Enumeration date
07/18/2006
Last updated
11/27/2014
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