Costantini, Todd Wilson
Costantini, Todd Wilson is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Costantini, Todd Wilson can be contacted via phone (612) 273-8383.Contact Information
Primary practice address
909 Fulton St Se
Minneapolis MN 55455-4800
Phone: (612) 273-8383
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | A95420 | California |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 76734 | Minnesota |
Profile Details
NPI number | 1396900064 |
---|---|
LBN Legal business name | Costantini, Todd Wilson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2008 |
Last updated | Jul 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396900064 | NPPES |
California | Other | A95420 | LICENSE |
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