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Individual

ALONSO CARRASCO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2530 CHICAGO AVE STE 550, MINNEAPOLIS, MN 55404-4293
(612) 813-8000
(612) 813-8005
Mailing address
4530 77TH ST W STE 205, EDINA, MN 55435-5003
(612) 813-8000
(952) 835-9443

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
04-39904
KS
2088P0231X
Pediatric Urology Physician
2017002201
MO
2088P0231X
Pediatric Urology Physician
Primary
54064
MN
2088P0231X
Pediatric Urology Physician
DR.0055046
CO
2088P0231X
Pediatric Urology Physician
V8469
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
05
ENROLLED
WI
01
P01021777
RAIL ROAD - MEDICARE
MN
Enumeration date
07/08/2010
Last updated
10/22/2025
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