Provider Demographics
NPI:1871525386
Name:GUIANG, SIXTO III (MD)
Entity type:Individual
Prefix:DR
First Name:SIXTO
Middle Name:
Last Name:GUIANG
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE, MMC 39
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-0644
Mailing Address - Fax:612-624-8176
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-0644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33770208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND10387Medicaid
MN546263100Medicaid
SD7777470Medicaid
IA1907774Medicaid
WI31937900Medicaid
MN1001416OtherPREFERRED ONE
MN8F753GUOtherBCBS
MT0058208Medicaid
MN103696OtherUCARE
MN769139OtherARAZ
MN47-29748OtherMEDICA CHOICE & PRIMARY
MNHP21982OtherHEALTHPARTNERS
MN769139OtherARAZ
WI31937900Medicaid