Individual
DR. MARIANITO SIA CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1280 BELMONT W LN, ST PAUL, MN 55113
(651) 647-1510
Mailing address
1280 BELMONT LANE WEST, ST PAUL, MN 55113
(651) 647-1510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20628
MN
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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