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Individual

PAOLA RICCI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
640 JACKSON ST, MC 11503F, ST PAUL, MN 55101-2502
(651) 254-3242
(651) 254-1553
Mailing address
8100 34TH ST S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35903
MN

Other

Enumeration date
04/17/2006
Last updated
07/08/2007
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