Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILITCH DIAZ GUTIERREZ, M.D.
Active Sole ProprietorILITCH DIAZ GUTIERREZ, M.D. is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in MAPLEWOOD, Minnesota. NPI 1629209366 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1629209366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2009 (17.070021665838 yrs)
- Last Updated
- Aug 30, 2018
- Licenses
-
RS2009-0378 (NM)63088 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1655 BEAM AVE STE 302MAPLEWOOD, MN, 551091477Browse MN providers · Browse ZIP 55109
- Phone
- 6512276351
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in MAPLEWOOD, MN
| Name | Credential | NPI |
|---|---|---|
| RYAN CHRISTOPHER KNOPER | M.D. | 1376836031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.