Individual
GIANCARLO ALEXANDER PEREZ-ALBELA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
64507
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2014
Last updated
03/19/2019
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