Individual
MS. GINA M CINCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8550
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-8550
(651) 254-8558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1055727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123893100
—
MN
Enumeration date
06/18/2006
Last updated
07/13/2023
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