Most Relevant Information
Provider Data
| NPI Number: | 1003295387 |
| Provider Name: | SIMONE BARRETO S P TERRA ILLMAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | 62469 |
Most Important Dates
| Enumeration Date: | 05/20/2015 |
| Last Updated: | 10/21/2021 |
Provider Practice Location
200 1ST ST SW
ROCHESTER
MN
559050001
Practice Location Phone/Fax
| Phone: | 5072842511 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | 5072842511 |
| Fax: |