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Individual

JONATHAN NUBLA SEMBRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2450 RIVERSIDE AVE SOUTH., R200, MINNEAPOLIS, MN 55454-1450
(612) 273-1177
(612) 273-7959
Mailing address
2450 RIVERSIDE AVE SOUTH., R200, MINNEAPOLIS, MN 55454-1450
(612) 273-1177
(612) 273-7959

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01063463A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
49612
MN

Other

Enumeration date
07/28/2006
Last updated
01/23/2008
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