Female

Dr. Mari B. Ito MD

Emergency Medicine Physician in Coon Rapids, MN(View on Map)

Full Name

Dr. Mari B Ito MD

NPI Number

1467429621

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/07/2006

Specialties

(Taxonomies)

Code

207P00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

33781

Contact
Information

Purpose

Mailing
Location

Address

2925 CHICAGO AVE
9055 SPRINGBROOK DR NW

City

Minneapolis
Coon Rapids

State

MN
MN

Postal Code

55407-1321
55433-5841

Country

US
US

Telephone Number

(612) 262-1166
(763) 236-7144

Identifiers

Identifier

539500300
33781

Identifier State

MN
MN

Identifier Issuer

Unknown
MN MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/23/2015

Provider Address

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Specialties: Occupational Medicine Physician (Primary)Emergency Medicine PhysicianStudent in an Organized Health Care Education/Training Program