Individual
DR. MARIA TERESA OCASIO CARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7600
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48310
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-01521
MEDICA
—
01
—
182106C736
UCARE MINNESOTA
MN
01
—
2392840
AMERICA'S PPO
—
01
—
83G810C
BCBS OF MINNESOTA
MN
05
—
957571500
—
MN
01
—
HP57365
HEALTH PARTNERS
—
01
—
NA9231046011
PREFERRED ONE
—
Enumeration date
07/11/2006
Last updated
11/04/2013
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