Individual
SIDNEY RAY CONSTANTINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1690 UNIVERSITY AVE W, SUITE 460, SAINT PAUL, MN 55104-3723
(651) 232-2002
(651) 232-2031
Mailing address
1690 UNIVERSITY AVE W, SUITE 460, SAINT PAUL, MN 55104-3723
(651) 232-2002
(651) 232-2031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R132355-3
MN
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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