Christopher J Kovanda MEDICAL DOCTOR

NPI 1861501082 - Plastic Surgery - 208200000X

NPI Details
NPI 1861501082
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/07/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
9325 UPLAND LN N STE 205
MAPLE GROVE MN, 55369-4474, US
Phone (763) 416-0676
Fax (763) 416-0476
Business Location
9325 UPLAND LN N STE 205
MAPLE GROVE MN, 55369-4474, US
Phone (763) 416-0676
Fax (763) 416-0476
Toxanomy
Taxonomy Code 208200000X
License State Minnesota
License Number 41657
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According to our database, Dr. Christopher J Kovanda MEDICAL DOCTOR NPI is 1861501082, taxonomy code is 208200000X and license number is 41657, license state is located at Minnesota. Christopher J Kovanda MEDICAL DOCTOR physically located at 9325 Upland Ln N Ste 205, Maple Grove MN, 55369-4474. NPI Number Christopher J Kovanda MEDICAL DOCTOR has the Individual type.

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1861501082 NPI number is provided on an as is basis without warranty of any kind. 1861501082 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher J Kovanda MEDICAL DOCTOR are for informational purposes only.