Individual
MICHAEL LOSASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 PINE TREE DR, ARDEN HILLS, MN 55112-3754
(651) 635-8000
Mailing address
1005 GRAMSIE RD APT 357, SHOREVIEW, MN 55126-3140
(651) 357-5158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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