Irina Gutsalyuk PA

NPI 1073522942 - Physician Assistant - 363AS0400X

NPI Details
NPI 1073522942
Gender Female
Enumeration Date 08/07/2006
Last Updated 11/16/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3931 LOUISANA AVE. S.
ST. LOUIS PARK MN, 55426, US
Phone (952) 993-2079
Fax (716) 887-5045
Business Location
3931 LOUISANA AVE. S.
ST. LOUIS PARK MN, 55426, US
Phone (952) 993-2079
Fax (716) 887-5045
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 009810-1
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According to our database, Irina Gutsalyuk PA NPI is 1073522942, taxonomy code is 363AS0400X and license number is 009810-1, license state is located at New York. Irina Gutsalyuk PA physically located at 3931 Louisana Ave. S., St. Louis Park MN, 55426. NPI Number Irina Gutsalyuk PA has the Individual type.

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1073522942 NPI number is provided on an as is basis without warranty of any kind. 1073522942 is maintained by the National Plan & Provider Enumeration System. The contents of Irina Gutsalyuk PA are for informational purposes only.