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EMMANUEL ORTIZ ERESTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66818
MN

Other

Enumeration date
06/24/2016
Last updated
01/17/2025
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