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Individual

RODAN BELTRAN MECANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5151016175
MI
207P00000X
Emergency Medicine Physician
Primary
82190
MN
207P00000X
Emergency Medicine Physician
82212
WI

Other

Enumeration date
05/30/2023
Last updated
07/24/2026
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