Individual
CASSIANO CRESPO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 SOUTH 8TH ST, MINNEAPOLIS, MN 55415
(612) 873-3000
Mailing address
816 PORTLAND AVE APT 122, MINNEAPOLIS, MN 55404-4603
(612) 814-5134
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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