DR. Tina M. Portillo, M.D.

NPI #1326359670 in Burnsville, Minnesota

Provider Information

NPI Number: 1326359670
Entity Type: Individual
Name: DR. Tina M. Portillo, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 1, 2010
Last Updated: Mar 11, 2021

Practice Location

Address: 14000 FAIRVIEW DR
City: Burnsville
State: Minnesota
ZIP Code: 55337-5713
Phone: (952) 993-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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