Individual
IAN MANUEL GUERRERO CORPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3437 125TH DR NE UNIT C, BLAINE, MN 55449-6139
(701) 341-1780
(701) 341-1780
Mailing address
90 CYPRESS E WAY 10, NAPLES, FL 34110-9275
(239) 431-7906
(239) 597-0338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58740
MN
Other
Enumeration date
07/20/2010
Last updated
10/16/2015
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