Individual
MR. ANASTASIOS ANGELO PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SELBY AVE STE S, SAINT PAUL, MN 55102-4520
(952) 373-4123
(651) 383-4947
Mailing address
535 DAYTON AVE, SAINT PAUL, MN 55102-1709
(513) 548-1056
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41400
MN
207N00000X
Dermatology Physician
4426
SD
207N00000X
Dermatology Physician
51009
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900330
—
SD
Enumeration date
07/06/2005
Last updated
09/20/2018
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