Individual
EDGAR PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
33935
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318202900
—
MN
Enumeration date
08/12/2005
Last updated
12/05/2011
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