Mazzuca, James

Mazzuca, James is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , St Louis Park MN 55416-2503. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mazzuca, James can be contacted via phone (952) 993-2794.

Contact Information

Primary practice address
3900 Park Nicollet Blvd St Louis Park MN 55416-2503
Phone: (952) 993-2794
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 471 Minnesota

Profile Details

NPI number 1295711216
LBN Legal business name Mazzuca, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Nov 13th, 2012 - about 12 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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