Organization
JOSEPH J. PIETRAFITTA, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JAMES PIETRAFITTA M.D. (PRESIDENT/CEO)
(763) 416-0676
Entity
Organization
Contact information
Practice address
9325 UPLAND LN N, SUITE 205, MAPLE GROVE, MN 55369-4470
(763) 416-0676
(763) 416-0476
Mailing address
9325 UPLAND LN N, SUITE 205, MAPLE GROVE, MN 55369-4470
(763) 416-0676
(763) 416-0476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1964477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1M334PI
BLUECROSSBLUESHIELD ID
MN
05
—
448914400
—
MN
Enumeration date
06/20/2006
Last updated
05/10/2011
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