Tristan Pennella, DO

NPI #1356923361 in Excelsior, Minnesota

Provider Information

NPI Number: 1356923361
Entity Type: Individual
Name: Tristan Pennella, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 28, 2021
Last Updated: Jan 6, 2025

Practice Location

Address: 675 WATER ST
City: Excelsior
State: Minnesota
ZIP Code: 55331-3158
Phone: (952) 906-7855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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