Individual
THAIS DE AZEREDO COUTINHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
49697
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340065100
—
MN
01
—
P00629254
RAILROAD MEDICARE
MN
Enumeration date
02/08/2007
Last updated
08/09/2023
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