Yekaterina O. Georgiev PA-C

NPI 1235419326 - Physician Assistant - 363A00000X

NPI Details
NPI 1235419326
Gender Female
Enumeration Date 08/22/2011
Last Updated 09/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
21395 JOHN MILLESS DR
SUITE 100
ROGERS MN, 55374-4402, US
Phone (763) 504-6400
Fax (763) 504-6410
Business Location
21395 JOHN MILLESS DR
SUITE 100
ROGERS MN, 55374-4402, US
Phone (763) 504-6400
Fax (763) 504-6410
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 10920
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According to our database, Yekaterina O. Georgiev PA-C NPI is 1235419326, taxonomy code is 363A00000X and license number is 10920, license state is located at Minnesota. Yekaterina O. Georgiev PA-C physically located at 21395 John Milless Dr, Rogers MN, 55374-4402. NPI Number Yekaterina O. Georgiev PA-C has the Individual type.

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1235419326 NPI number is provided on an as is basis without warranty of any kind. 1235419326 is maintained by the National Plan & Provider Enumeration System. The contents of Yekaterina O. Georgiev PA-C are for informational purposes only.