Individual
ANDREW VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TP623
KY
208M00000X
Hospitalist Physician
Primary
77674
MN
Other
Enumeration date
04/25/2019
Last updated
09/09/2024
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