Individual
RODOLFO EDMUNDO URIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-1311
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-1311
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
28307
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30552700
—
WI
05
—
873768100
—
MN
Enumeration date
05/31/2006
Last updated
05/19/2011
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