Individual
DR. TERESA ANGELA VENDITTO ST GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2923
(218) 262-3441
(218) 362-6989
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2923
(218) 262-3441
(218) 362-6989
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
46867
MN
207Q00000X
Family Medicine Physician
Primary
46867
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080015131
MEDICARE
MN
05
—
452433100
—
MN
Enumeration date
05/13/2006
Last updated
09/23/2013
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