Individual
ETTORE PIROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 8TH ST N, NEW ULM, MN 56073-1552
(507) 217-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50556
MN
207RH0000X
Hematology (Internal Medicine) Physician
50556
MN
207RH0003X
Hematology & Oncology Physician
39302
CO
207RX0202X
Medical Oncology Physician
Primary
50556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15286045
—
CO
05
—
949688000
—
MN
01
—
P00611527
RR MEDICARE
MN
Enumeration date
03/15/2006
Last updated
11/10/2020
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