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Search › Minnesota › 207Q00000X

Peter Vasconcellos, DO

NPI 1750359915 · on the registry since 2006 · sole proprietor

Practice

Address
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone
(218) 326-3401
Organisation at this address
Fairview Pharmacy Services Llc
Grand Itasca Clinic And Hospital
Grand Itasca Clinic And Hospital
Grand Itasca Clinic And Hospital
Grand Itasca Clinic And Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
117

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
TX, IA, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-09

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