Search › Minnesota › 208G00000X
Ilitch Diaz Gutierrez, M.D
NPI 1629209366 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1655 Beam Ave Ste 302
Maplewood, MN 55109 - Phone
- (651) 227-6351
- Organisation at this address
- Hearing Unlimited Lc
St. Paul Surgeons, Ltd.
St. Croix Orthopaedics, P.A.
Healtheast Medical Research Institute
Pediatric And Young Adult Medicine, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Additional practice sites
- 500 Harvard St Se, Minneapolis, MN
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 208600000X
- Licence states on file
- NM, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota