Individual
MILAGROS SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE, CHILDREN'S PRIMARY CLINIC-MPLS, MINNEAPOLIS, MN 55404-4518
(612) 813-6107
(612) 813-7473
Mailing address
2910 CENTRE POINTE DR, 35-121 A, ROSEVILLE, MN 55113-1182
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33340
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
868500200
—
MN
Enumeration date
08/24/2005
Last updated
08/30/2012
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