Individual
KRISTIN M MASCOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITALS AND CLINICS PATHOLOGY MPLS, 2525 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55404
(612) 813-6280
(612) 813-6951
Mailing address
CHILDREN'S HEALTH CARE, 2910 CENTRE POINTE DRIVE 35-121A, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312523800
—
MN
Enumeration date
08/17/2005
Last updated
09/02/2014
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