CHALTU BLAINE AYANO

PLYMOUTH, MN
NPI1417369323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP3000X Anesthesiology Pediatric Anesthesiology
(Licence: MO  2019040561)
Additional Taxonomies207L00000X Anesthesiology
(Licence: MN  73154)
207L00000X Anesthesiology
(Licence: MO  2019040561)
207LP3000X Anesthesiology Pediatric Anesthesiology
(Licence: MN  73154)
Enumeration Date2014-05-27
Last Update Date2023-02-03
Business Address
DR. CHALTU BLAINE AYANO MD
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447-4876
Phone number: 763-559-3779
Mailing Address
DR. CHALTU BLAINE AYANO MD
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779