Dr. Carlos Andres Javier Rodriguez-Russo, MD
in Minneapolis, MN. Individual provider (NPI-1).
NPI number1902369986
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1902369986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carlos Andres Javier Rodriguez-Russo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2019
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 77734 | MN | Yes |
Practice location
909 Fulton St SeMinneapolis, MN 55455-4800
Phone 612-273-8383
Mailing address
516 Delaware St SeMinneapolis, MN 55455-0356
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