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NPI 1235133265 · live from the CMS NPI Registry

Mary J. Chiasson, D.O.

Psychiatry & Neurology, Neurology in Bloomington, MN. National Provider Identifier 1235133265, active.

NPI record

NPI1235133265 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location3601 Minnesota Dr Ste 200, Bloomington, MN 55435
Practice phone612-879-1000
EnumeratedJune 8, 2005
Last updatedAugust 26, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400X40247 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.