SearchMinnesota225XP0200X

Mia Massaro

NPI 1518525906 · on the registry since 2019 · sole proprietor

Practice

Address
2555 County Road E E
White Bear Lake, MN 55110
Phone
(651) 683-2953
Clinicians at this address
5

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-26

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