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1093005498
GENNADIY VASILYEVICH SHEVCHENKO
MINNEAPOLIS, MN
NPI
1093005498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MN 59255)
Enumeration Date
2011-04-19
Last Update Date
2016-08-22
Business Address
-- GENNADIY VASILYEVICH SHEVCHENKO MD
3809 42ND AVE S
MINNEAPOLIS, MN 55406-3503
Phone number: 612-721-6261
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Mailing Address
-- GENNADIY VASILYEVICH SHEVCHENKO MD
3809 42ND AVE S
MINNEAPOLIS, MN 55406-3503
Phone number: 612-721-6261
Copy
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