Individual provider · Type 1 NPI

Ilitch Diaz Gutierrez, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Maplewood, MN

NPI number 1629209366 Active

Practice location

1655 Beam Ave Ste 302
Maplewood, MN 55109-1477

Mailing address

3144 Chowen Ave S, Apt 219B
Minneapolis, MN 55416-5398

Other practice locations

  • 500 Harvard St SE, Minneapolis, MN 55455-0363 · (612) 273-3000

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XRS2009-0378 (NM)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X63088 (MN)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1629209366

Ilitch Diaz Gutierrez, MD's National Provider Identifier is 1629209366, issued on Jul 29, 2009. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Maplewood, MN. The record was last updated on Aug 30, 2018.