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Individual

ANTHONY J SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
516 DELAWARE ST SE, CLINIC 1A, MINNEAPOLIS, MN 55455-0356
(612) 626-6688
(612) 626-3217
Mailing address
720 WASHINGTON AVE SE, SUITE 300, MINNEAPOLIS, MN 55414-2924
(612) 626-6688
(612) 626-3217

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
43209
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
544779
AZ
Enumeration date
08/24/2005
Last updated
06/12/2014
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