person
Tristan Pennella, DO
Student in an Organized Health Care Education/Training Program in Mankato, Minnesota
NPI 1356923361

Tristan Pennella is a Student in an Organized Health Care Education/Training Program based in Mankato, MN. Tristan Pennella practices in Mankato, MN and has the professional credentials of DO. The NPI Number for Tristan Pennella is 1356923361 and holds a License No. (Minnesota).

The current practice location address for Tristan Pennella is 101 Martin Luther King Dr, Mankato, MN and can be reached out via phone at 507-594-6572.

Location: 101 Martin Luther King Dr, Mankato, MN, 56001-6460
person
Provider Profile Details
NPI Number
1356923361
Provider Name
Tristan Pennella
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
101 Martin Luther King Dr, Mankato, MN, 56001-6460
Phone Number
507-594-6572
Fax Number
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Martin Luther King Dr
City
State
Zip
56001-6460
Phone Number
507-594-6572
Fax Number
person
Provider Business Mailing Address Details
Address
101 Martin Luther King Dr
City
State
Zip
56001-6460
Phone Number
507-594-6572
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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