Diaz Gutierrez, Ilitch
Diaz Gutierrez, Ilitch is an sole proprietor health care provider with primary practice located at 1655 Beam Ave Ste 302 , Maplewood MN 55109-1477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Diaz Gutierrez, Ilitch can be contacted via phone (651) 227-6351.Contact Information
Primary practice address
1655 Beam Ave Ste 302
Maplewood MN 55109-1477
Phone: (651) 227-6351
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | RS2009-0378 | New Mexico |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 63088 | Minnesota |
Profile Details
NPI number | 1629209366 |
---|---|
LBN Legal business name | Diaz Gutierrez, Ilitch |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 29th, 2009 |
Last updated | Aug 30th, 2018 - about 7 years ago |
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.
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