Guanzon, Marie Denise Alfonso

Guanzon, Marie Denise Alfonso is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303-2735. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Guanzon, Marie Denise Alfonso can be contacted via phone (701) 530-7000.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735
Phone: (701) 530-7000
Fax: (701) 530-8842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 9430 North Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53336 Minnesota
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 53336 Minnesota

Profile Details

NPI number 1780664631
LBN Legal business name Guanzon, Marie Denise Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Apr 28th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780664631 NPPES
North Dakota MEDICAID 13077
North Dakota Other P00327845

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