Individual
JOHN MISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(952) 967-5584
(651) 293-8232
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44461
MN
Other
Enumeration date
12/29/2005
Last updated
10/16/2024
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