Individual
ANTHONY PATRICK BASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746
(218) 262-3441
(218) 362-6989
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746
(218) 262-3441
(218) 362-6989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18675
MN
207R00000X
Internal Medicine Physician
Primary
51049
MN
Other
Enumeration date
02/14/2008
Last updated
09/13/2013
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