Provider Demographics
NPI:1609010164
Name:RACILA, EMILIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILIAN
Middle Name:
Last Name:RACILA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET S.E.
Mailing Address - Street 2:C444 MAYO MEMORIAL BUILDING
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-273-1454
Mailing Address - Fax:612-273-1142
Practice Address - Street 1:420 DELAWARE STREET S.E.
Practice Address - Street 2:C444 MAYO MEMORIAL BUILDING
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-273-1454
Practice Address - Fax:612-273-1142
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN59222207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology