Individual
IOAN JOHN CHITU I
Active
Individual
IOAN JOHN CHITU I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10322
MN
363AS0400X
Surgical Physician Assistant
10322
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10322
PA CERTIFICATION
MN
01
—
PAC0379
PA LICENSE
ND
Enumeration date
11/19/2007
Last updated
05/22/2008
Update your record
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