Healthcare Provider Details

I. General information

NPI: 1639157928
Provider Name (Legal Business Name): PAUL TORQUATO PIANOSI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PAOLO T PIANOSI M.D.

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 S 7TH ST
MINNEAPOLIS MN
55454-1404
US

IV. Provider business mailing address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

V. Phone/Fax

Practice location:
  • Phone: 612-365-6777
  • Fax: 612-365-8001
Mailing address:
  • Phone: 507-284-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number47362
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number47362
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: