TRISTAN PENNELLA

EXCELSIOR, MN
NPI1356923361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  73409)
Enumeration Date2021-04-28
Last Update Date2025-01-06
Business Address
TRISTAN PENNELLA DO
675 WATER ST
EXCELSIOR, MN 55331-3158
Phone number: 952-906-7855
Mailing Address
TRISTAN PENNELLA DO
675 WATER ST
EXCELSIOR, MN 55331-3158
Phone number: 952-906-7855
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