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1013559178
MAKSIM BLIDCHENKO
DES MOINES, IA
NPI
1013559178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA A156720)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
MAKSIM BLIDCHENKO ARNP
411 LAUREL ST STE A250
DES MOINES, IA 50314-3029
Phone number: 515-235-5000
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Mailing Address
MAKSIM BLIDCHENKO ARNP
PO BOX 9170
DES MOINES, IA 50306-9170
Phone number: 515-235-5000
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